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Revista Cubana de Cirugía
versión impresa ISSN 0034-7493versión On-line ISSN 1561-2945
Resumen
ALONSO RODRIGUEZ, Yoandy et al. Characterization of Patients with Inguinal Hernia Operated on Using the Lichtenstein Technique. Rev Cubana Cir [online]. 2020, vol.59, n.4, e1022. Epub 01-Ene-2021. ISSN 0034-7493.
Introduction:
In Mayabeque Province, the Lichtenstein technique is used to repair inguinal hernia, with a recurrence below 3%.
Objective:
To characterize patients with a diagnosis of inguinal hernia operated on by the Lichtenstein hernioplasty technique.
Methods:
A longitudinal and retrospective study was carried out in patients operated on for inguinal hernia at Leopoldito Martínez Hospital, from January-2013 to December-2017. The universe consisted of 218, with a systematic probabilistic sample of 128 cases. The data were obtained from medical records. Quantitative variables were summarized by arithmetic mean and standard deviation, while qualitative variables were summarized by percentages. The comparison of proportions was carried out through the chi-square and Duncan's test, considering a level of significance of P<0.05.
Results:
There was a predominance of the male sex predominated (94.54%), the age between 41 and 60 years (42.96%), and the hernia type III A (60.15%), with mean evolution of 42.3 month. Surgical time was 1-2 hours (65.62%), with a mean of one hour and 26 minutes. There was predominance of acute pain complications (13.28%), surgical-site infection (3.12%) and hospital stay below 24 hours (79.68%), with a recurrence of 2.34%.
Conclusions:
The Lichtenstein technique is effective for inguinal hernia repair in the Mayabeque Province. Mean surgical time is estimated to be a maximum of one hour and 26 minutes, while hospital stay, at the expense of complications, was 24-72 hours. The percentage of recurrences is high and should improve by refining the technique.
Palabras clave : inguinal hernia; Lichtenstein technique; hernia types; Nyhus classification; surgical time.