Tension-free repair versus Bassini technique for strangulated inguinal hernia: A controlled randomized study

Elsebae, Magdy M.A.; Nasr, Maged M; Said, Mohd Fuaad

doi:10.1016/j.ijsu.2008.04.006

Cited by 78 publications

(64 citation statements)

References 14 publications

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“…In low risk patients, tension-free mesh repair is a safe procedure [44,45]. This technique is not associated with mesh-related complications, such as infections or increased recurrence rates compared to the use in elective setting.…”

Section: Discussionmentioning

confidence: 99%

“…The use of a prosthetic mesh in emergency repair is presumed to lead to mesh-related complications such as an increased risk of infection [44,45]. Recent studies have shown that the use of a tension-free mesh in emergency groin hernia repair is not associated with higher morbidity rates.…”

Section: Risk Of Incarceration and Strangulationmentioning

confidence: 99%

“…Recent studies have shown that the use of a tension-free mesh in emergency groin hernia repair is not associated with higher morbidity rates. Elsebae et al [44] compared tension-free mesh repair to the Bassini repair in emergency groin hernias in a randomized controlled trial. Patients with preoperative peritonitis, an inXammatory hernia and ischemic necrosis necessitating bowel resection were excluded from the study.…”

Section: Risk Of Incarceration and Strangulationmentioning

confidence: 99%

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Is surgical repair of an asymptomatic groin hernia appropriate? A review

Heuvel

Dwars

Klassen

et al. 2011

Hernia

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Purpose Groin herniorrhaphy is the most common operation performed by general surgeons. Annually, more than 20 million groin hernias are repaired worldwide. The general approach towards groin hernias is surgical repair regardless of the presence of symptoms. The rationale to recommend surgery for asymptomatic groin hernias is prevention of visceral strangulation. The goal of this review is to evaluate the appropriateness of surgery in patients with asymptomatic groin hernias. Methods The review was based on an extensive literature search of Pubmed, Medline and the Cochrane Library. Results The risk of incarceration is approximately 4 per 1,000 patients with a groin hernia per year. Risk factors for incarceration are age above 60 years, femoral hernia site and duration of signs less than 3 months. Morbidity and mortality rates of emergency groin hernia repair are higher in patients who are older than 49 years, have a delay between onset of symptoms and surgery of more than 12 h, have a femoral hernia, have nonviable bowel and have an ASA-class of 3 or 4. The recurrence rate after tension-free mesh repair in the management of emergency groin hernias is comparable to that of elective repair. There is no diVerence in pain and quality of life after elective repair compared to watchful waiting. There is no advantage in cost-eVectiveness of elective repair compared to watchful waiting. ConclusionWatchful waiting for asymptomatic groin hernias is a safe and cost-eVective modality in patients who are under 50 years old, have an ASA class of 1 or 2, an inguinal hernia, and a duration of signs of more than 3 months.

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Section: Discussionmentioning

confidence: 99%

Section: Risk Of Incarceration and Strangulationmentioning

confidence: 99%

Section: Risk Of Incarceration and Strangulationmentioning

confidence: 99%

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Is surgical repair of an asymptomatic groin hernia appropriate? A review

Heuvel

Dwars

Klassen

et al. 2011

Hernia

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“…Several studies could show that an incarcerated groin hernia is not an absolute contraindication for the implantation of non-absorbable meshes, as the complications rates (and especially the infection rates) were similar to those after repair without the use of prosthetic material [2,3].…”

mentioning

confidence: 99%

“…In another study, diVerences were found in the recurrence rates but not in the infection rates. However, patients with inXamed hernia or preoperative peritonitis were excluded from randomization (both of them are present in inXamed Amyand's hernia) [3].…”

mentioning

confidence: 99%

The role of prosthetic repair in the treatment of an incarcerated recurrent inguinal hernia with acute appendicitis (inflamed Amyand’s hernia)

Küper

Kischniak

Königsrainer

et al. 2009

Hernia

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Mesh versus non-mesh for inguinal and femoral hernia repair

Lockhart

Teo

et al. 2018

Cochrane Database of Systematic Reviews

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Mesh and non-mesh repairs are effective surgical approaches in treating hernias, each demonstrating benefits in different areas. Compared to non-mesh repairs, mesh repairs probably reduce the rate of hernia recurrence, and reduce visceral or neurovascular injuries, making mesh repair a common repair approach. Mesh repairs may result in a reduced length of hospital stay and time to return to activities of daily living, but these results are uncertain due to variation in the results of the studies. Non-mesh repair is less likely to cause seroma formation and has been favoured in low-income countries due to low cost and reduced availability of mesh materials. Risk of bias in the included studies was low to moderate and generally handled well by study authors, with attention to details of allocation, blinding, attrition and reporting.

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Tension-free repair versus Bassini technique for strangulated inguinal hernia: A controlled randomized study

Abstract: The use of Lichtenstein "tension-free" technique in emergency treatment of strangulated inguinal hernia is safe, effective with an acceptably low rate of postoperative complications and without recurrence.

Cited by 78 publications

References 14 publications

Is surgical repair of an asymptomatic groin hernia appropriate? A review

Is surgical repair of an asymptomatic groin hernia appropriate? A review

The role of prosthetic repair in the treatment of an incarcerated recurrent inguinal hernia with acute appendicitis (inflamed Amyand’s hernia)

Mesh versus non-mesh for inguinal and femoral hernia repair

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