Recurrent inguinal hernia analysis of 58 cases of reoperation.docVIP

 PAGE \* MERGEFORMAT 5 Recurrent inguinal hernia analysis of 58 cases of reoperation [Keywords:] inguinal hernia; recurrence; re-operation Recurrent hernia anatomy and physiology because of the original structure has been destroyed, local defects serious difficulty in re-operation and recurrence rate. More traditional tension-free hernia repair surgical recurrence rate was significantly lower, but not foolproof. Our hospital since January 2000 treated 58 cases of inguinal hernia recurrence, analyzed as follows. 1 Materials and Methods 1.1 General information on the 58 patients (65 sides, 53 males and 5 females, aged from 31 to 62 years. 51 cases of unilateral, bilateral in 7 cases. First recurrence after surgery for 3 months to 7 years. First recurrence 36 cases, 17 cases of recurrence 2, 3 or more times in 5 cases. the initial surgery 21 patients with hypertension, 16 cases of chronic bronchitis, emphysema in 5 cases, 7 cases of benign prostatic hyperplasia. initial surgical procedures: 48 cases of conventional (Bassini surgery in 31 cases, McVay 13 cases, Shouldic 4 cases, 10 cases of tension-free hernia repair (3 patients Flat Sheet, filling in 6 cases, laparoscopic repair in 1 case. 1.2 again surgical anesthesia in 6 cases, 49 cases of epidural anesthesia, general anesthesia in 3 cases. Recurrent hernia incarcerated emergency surgery in 8 cases, 39 cases of anterior surgery, 10 cases of post-surgical approach, laparoscopic transabdominal preperitoneal repair in 1. simple suture in 8 cases, single-layer lightweight mesh repair, 35 cases (41 sides, heavy mesh repair in 8 cases, 7 cases of unilateral giant patch (8 sides. 2 Results 58 cases cured and catheterization after acute urinary retention in 11 cases, scrotal hydrocele in 13 cases, the absorption by the puncture fluid, groin discomfort in 3 cases, followed up for 3 months to 8 years of relapse in 2 cases. Links to free paper download 3 Discussion 3.1 The main reasons for re