Long-term results of giant prosthetic reinforcement of the visceral sac for complex recurrent inguinal hernia.

G.L. Beets, D. van Geldere, C.G.M.I. Baeten, P.M. Go

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Long-term results of giant prosthetic reinforcement of the visceral sac for complex recurrent inguinal hernia.

Beets GL, van Geldere D, Baeten CG, Go PM.

Department of Surgery, University Hospital Maastricht, The Netherlands.

The results of recurrent inguinal hernia repair in a prospective cohort study were evaluated. From May 1986 to December 1990 75 patients with 150 hernias (24 primary, 126 recurrent) were operated using a technique based on Stoppa's preperitoneal mesh repair (giant prosthetic reinforcement of the visceral sac; GPRVS). All patients were at high risk for recurrence: they all had bilateral hernias, mostly bilateral recurrent and often repeatedly recurrent. All patients had a physical examination 1 week, 6 weeks and 1 year after operation. Sixty patients (94 per cent of surviving patients) had a physical examination after a mean follow-up of 5.7 (range 4-9) years. There were no major complications. There was one deep infection that healed without removing the mesh. One of the 75 patients (1 per cent) had a recurrence 2 months after the operation, due to a technical failure. Because of the excellent results, the ease of the procedure and the low complication rate, GPRVS is the authors' operation of choice for any recurrent inguinal hernia.
Original languageEnglish
Pages (from-to)203-206
JournalBritish Journal of Surgery
Volume83
Issue number2
DOIs
Publication statusPublished - 1 Jan 1996

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