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Revista chilena de cirugía

versión On-line ISSN 0718-4026


BELTRAN, MARCELO A; S. CRUCES, E.U. KARINA; TAPIA Q, TITO F.  y  VIVENCIO, ALFONSO. Surgical outcomes of emergency Lichtenstein hernioplasty . Rev Chil Cir [online]. 2006, vol.58, n.5, pp.359-364. ISSN 0718-4026.

Introduction. The Lichtenstein tension-free hernioplasty is the gold standard for elective repair of inguinal hernias in male patients. The ideal surgical treatment for complicated inguinal hernia is not completely established; the options are the same as for elective surgery. Our aim was the evaluation and analysis of the outcomes of emergency Lichtenstein hernioplasty. Material and method. Follow-up of 48 patients studied through interview and physical exam, information consigned in the clinical records of each patient was used to complete the protocol. Results. Mean age was 54.2 years and the length of stay 2.8 days. In most patients signs of strangulation were found such as intestinal ischemia or greater omentum infarct without peritonitis, no intestinal resection was performed. In 5 patients, postoperative inguinodynia lasted from 1 to 60 days, in 1 patient remains as chronic inguinodynia. Thirteen patients developed immediate postoperative complications, hemorrhagic complications did not require surgical exploration and together with urinary retention were the most common complications. There were no hernia recurrences to date. Conclusions. The surgical outcomes for complicated inguinal hernias are mostly excellent when the procedure used is the Lichtenstein hernioplasty

Palabras clave : Emergency surgery; Lichtenstein hernioplasty; quality of life.

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