Abstract

ENRIQUEZ WEINMANN, Ernesto Simón et al. Reparación protésica de hernias inguinales con técnica de Lichtenstein. Rev Cubana Cir [online]. 2003, vol.42, n.1, pp. 0-0. ISSN 1561-2945.

The results of a prospective study dealing with the placement of prostheses by anterior route in the repair of inguinal hernias by using the technical variants proposed by Lichtenstein were presented. 150 patients who were operated on from September, 1996, to February, 2001, were included. The prosthetic reinforcement technique initially described by Lichtenstein was performed in 100, whereas the free-tension technique was used in 50 patients. 93 primary herniorraphies were performed. 57 were carried out in recurrent hernias, 10 of them iterated. Type III was the type of hernia most commonly operated on, according to Gilbert classification. 8 patients presented type VI hernia. Regional anesthesia was the most frequently used, followed by general and local anesthesia and acupuncture analgesia. Complications had a behavior similar to that of traditional techniques. 26 patients showed minor immediate complications. Wound sepsis was observed in one case (0.6 %). No relapses have been reported so far. 100 % of the cases had an average follow-up of 39 months (12-66). It is stressed the need to teach prosthetic reinforcement to surgeons under training

Keywords : HERNIA INGUINAL [cirugía]; CIRUGIA PLASTICA; PROTESIS E IMPLANTES; MALLAS QUIRURGICAS; COMPLICACIONES POSOPERATORIAS; PROCEDIMIENTOS QUIRURGICOS RECONSTRUCTIVOS [métodos]; HERNIA, INGUINAL [surgery]; SURGERY, PLASTIC; PROSTHESES AND IMPLANTS; SURGICAL MESHES; COMPLICATIONS, POSTOPERATIVE; SURGICAL PROCEDURES, RECONSTRUCTIVE [methods].