10 Years’ controlled results of suture repair View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2003-01

AUTHORS

Ch. Töns, A. Schachtrupp, J. Höer, A. Marx, G. Arlt, V. Schumpelick

ABSTRACT

Background: Over a period of 10 years, we prospectively evaluated the Shouldice technique for primary inguinal hernia repair with regard to recurrence rates and hernia type-related risk profiles.Methods: 196 unselected patients with 237 primary inguinal hernias were prospectively examined 1, 5 and 10 years after hernia repair was performed by 36 different surgeons (71% senior surgeons) using the standardized Shouldice technique. Follow-up included primarily physical examination and comprised 91.1%, 85.6% and 73% of the patients after 1, 5 and 10 years.Results: Early and late complications of inguinal hernia repair occurred in 11.4%. Eighty-eight per cent were not limited in their daily life activities 10 years after the operation. Recurrent hernia was found in 1.3% after 5 years and 2.95% (7 out of 237) after 10 years. The rate of recurrence tended to be higher after direct (4.8%) and combined hernias (4.2%) than after indirect hernia (1.6%). Almost all recurrences were found in stage III hernias.Conclusions: Ten years after Shouldice repair, 97% of the patients are free of recurrence. These results indicate that there is no need to abandon the Shouldice technique with local anaesthesia as the standard procedure for primary inguinal hernia repair. More... »

PAGES

45-48

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/bf02765505

DOI

http://dx.doi.org/10.1007/bf02765505

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1035412238


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