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Revista de Ciencias Médicas de Pinar del Río
On-line version ISSN 1561-3194
Abstract
ALFONSO VALDES, José Miguel et al. Advantages of Nyhus versus Lichtenstein technique for surgical treatment of bilateral inguinal hernia. Rev Ciencias Médicas [online]. 2019, vol.23, n.5, pp.664-670. Epub Sep 01, 2019. ISSN 1561-3194.
Introduction:
Lichtenstein's and Nyhus techniques represent safe hernioplasties; Nyhus is a procedure not yet reported as the choice for bilateral inguinal hernia.
Objective:
to describe the advantages of Lichtenstein technique comparing Nyhus technique for the management of inguinal hernia as the treatment of choice in patients suffering from bilateral inguinal hernia.
Methods:
an observational, analytical, and cross-sectional study of control cases was conducted at Abel Santamaría Cuadrado General Teaching Hospital during 2014-2017 in Pinar del Río, Cuba. The sample consisted of 62 cases, in two groups that included 31 patients; Group A: operated by Nyhus technique. Group B: operated in two stages by Lichtenstein technique. Descriptive and inferential statistical tools were applied.
Results:
in group A, the standard surgical time was 42 minutes, group B was over 60, the chi-square statistician showed the non-homogeneity between the frequencies being statistically significant the difference when observing the value of p=0,00020. The hospitalization time in A averaged 26 hours, in group B predominated more than 48 hours, the statistician chi-square showed the non-homogeneity between the frequencies being statistically significant the difference when observing the value of p=0.00000059. The ratio of complications of group A and B was 1.57. Patients belonging to Group A had no recurrence or inguinodynia symptoms, patients from Group B presented 3 inguinodynia episodes.
Conclusions:
Nyhus technique is the preferred choice for surgical treatment of bilateral inguinal hernia.
Keywords : HERNIA, INGUINAL; SURGICAL PROCEDURES, OPERATIVE; SURGERY DEPARTMENT, HOSPITAL; EPIDEMIOLOGY; RISK FACTORS.