Background: We propose a new open mesh hernia repair procedure for the treatment of inguinal hernias in adults aiming to improve patients’ comfort and to reduce the incidence of chronic neuralgia. Methods: From September 2012 to August 2015, 250 consecutive patients were treated with “all in-one” mesh hernioplasty procedure in our Institution. According to the devised technique, a new smaller prosthesis was placed on the floor of the inguinal canal in order to strengthen all areas of weakness from which hernias may originate. The mesh was enveloped by a fibro-cremasteric sheath avoiding contact with neural structures. Follow-up was carried out at 3, 6, 12, 18 and 24 months for evaluation of postoperative pain using Visual Analogue Scale score, need of medication, patients’ comfort and short or long-term complications. Results: All patients were discharged within 24 h from surgery. Slight pain was reported by the majority of patients and 47.6% of them did not require pain medication at home. After the 1st postoperative week 96.8% reported no pain and no other symptoms. No relevant limitation of normal activities was reported. There has been no postoperative neuralgia. One recurrence was observed. Conclusions: This new hernioplasty technique respects the anatomy of the inguinal canal, uses a smaller mesh, and seems to avoid neuralgia with maximum comfort for the patients.

Guttadauro, A., Maternini, M., Frassani, S., De Simone, M., Chiarelli, M., Macchini, D., et al. (2018). “All-in-one mesh” hernioplasty: A new procedure for primary inguinal hernia open repair. ASIAN JOURNAL OF SURGERY, 41(5), 473-479 [10.1016/j.asjsur.2017.07.003].

“All-in-one mesh” hernioplasty: A new procedure for primary inguinal hernia open repair

GUTTADAURO, ANGELO
;
FRASSANI, SILVIA;MACCHINI, DANIELE;PECORA, NICOLETTA;GABRIELLI, FRANCESCO
Ultimo
2018

Abstract

Background: We propose a new open mesh hernia repair procedure for the treatment of inguinal hernias in adults aiming to improve patients’ comfort and to reduce the incidence of chronic neuralgia. Methods: From September 2012 to August 2015, 250 consecutive patients were treated with “all in-one” mesh hernioplasty procedure in our Institution. According to the devised technique, a new smaller prosthesis was placed on the floor of the inguinal canal in order to strengthen all areas of weakness from which hernias may originate. The mesh was enveloped by a fibro-cremasteric sheath avoiding contact with neural structures. Follow-up was carried out at 3, 6, 12, 18 and 24 months for evaluation of postoperative pain using Visual Analogue Scale score, need of medication, patients’ comfort and short or long-term complications. Results: All patients were discharged within 24 h from surgery. Slight pain was reported by the majority of patients and 47.6% of them did not require pain medication at home. After the 1st postoperative week 96.8% reported no pain and no other symptoms. No relevant limitation of normal activities was reported. There has been no postoperative neuralgia. One recurrence was observed. Conclusions: This new hernioplasty technique respects the anatomy of the inguinal canal, uses a smaller mesh, and seems to avoid neuralgia with maximum comfort for the patients.
Articolo in rivista - Articolo scientifico
Hernioplasty technique; Inguinal hernioplasty; Mesh for groin hernia; Neuralgia post-hernioplasty; Tension free hernia repair;
Hernioplasty technique; Inguinal hernioplasty; Mesh for groin hernia; Neuralgia post-hernioplasty; Tension free hernia repair; Surgery
English
473
479
7
Guttadauro, A., Maternini, M., Frassani, S., De Simone, M., Chiarelli, M., Macchini, D., et al. (2018). “All-in-one mesh” hernioplasty: A new procedure for primary inguinal hernia open repair. ASIAN JOURNAL OF SURGERY, 41(5), 473-479 [10.1016/j.asjsur.2017.07.003].
Guttadauro, A; Maternini, M; Frassani, S; De Simone, M; Chiarelli, M; Macchini, D; Pecora, N; Bertolini, A; Cioffi, U; Gabrielli, F
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/167524
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