Resumen

ARMAS PEREZ, Bárbaro Agustín; REYES BALSEIRO, Evelio Salvador; DUMENIGO AREAS, Oscar  y  GONZALEZ MENOCAL, Orlando René. Bilateral inguinal hernias operated on with local anesthesia by Lichtenstein hernioplasty. Rev Cubana Cir [online]. 2009, vol.48, n.1. ISSN 0034-7493.

INTRODUCTION. Lichtenstein's tension free bilateral inguinal hernioplasty is a real possibility for treating patients with bilateral inguinal hernia. This method is essentially less expensive for the patient, the institution and the economy in general, and it allows a fast reincorporation to society. Therefore, the results of this treatment protocol were included in the present study aimed at evaluating its effectiveness. METHODS. A descriptive cross-sectional study was conducted among the first 38 patients operated on by Lichtenstein's technique with local anesthesia (Braun and Sheleider's combined technique). The patients underwent ambulatory surgery between January 2001 and December 2007. The patients operated on in the morning were discharged in the afternoon, whereas those operated in the afternoon were discharged next morning in order to prevent the ecchymosis with the early mobilization. RESULTS. Four of the patients had recurrent hernias. The most used prosthetic material was polypropilene (86.9 %). The complications accounted for 9.1 % (referred not to the 38 patients, but to the 76 hernioplasties). After a follow-up ranging from 1 to 36 months, a rejection to the prosthetic material (1.3 %) and a relapse (1.3 %) were observed. CONCLUSIONS. It was concluded that this material may be applied to bilateral hernias, since stress, institutional costs and the patient's discomforts are reduced, showing this way its efficiency.

Palabras clave : Bilateral inguinal hernia; Lichtenstein's simultaneous hernioplasty; local anesthesia; complications; rejection; relapse.

        · resumen en Español     · texto en Español     · Español ( pdf )