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.
|Citazione:||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.|
|Tipo:||Articolo in rivista - Articolo scientifico|
|Carattere della pubblicazione:||Scientifica|
|Presenza di un coautore afferente ad Istituzioni straniere:||Si|
|Titolo:||“All-in-one mesh” hernioplasty: A new procedure for primary inguinal hernia open repair|
|Autori:||Guttadauro, A; Maternini, M; Frassani, S; De Simone, M; Chiarelli, M; Macchini, D; Pecora, N; Bertolini, A; Cioffi, U; Gabrielli, F|
GUTTADAURO, ANGELO (Corresponding)
GABRIELLI, FRANCESCO (Ultimo)
|Data di pubblicazione:||2018|
|Rivista:||ASIAN JOURNAL OF SURGERY|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1016/j.asjsur.2017.07.003|
|Appare nelle tipologie:||01 - Articolo su rivista|