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Place of plasties in inguinal hernias repair : alloplasty or autoplasty?

Plasties are treatments without tension, given the low rate of recurrence and chronic pain they cause. The aim of this study is to discuss the techniques and results of two types of plasty surgery in inguinal hernias in adults: the prosthetic plasty and fascial plasty. Patients and methods: this is a double study (Study A and Study B) made the General Surgery Service of the University Hospital Aristide Le Dantec. A The study is a prospective descriptive study of 7 years (March 2009-March 2016), involving 115 cases of treatment of uncomplicated inguinal hernia plasty of fascial oblique. They were 100 men (94.8%) and 6 women (5.2%) with a mean age of 42.7 years. Study B was a retrospective study of 11 years (from December 2003 to December 2013). They were 76 men and 3 women, average age 57.2 years. Results: In study A, the average operative time was 34.8 minutes. Morbidity was 8.5%. Chronic postoperative pain was noted in 11.3% of cases. Two cases of recurrence (1.7%) were observed with a mean of 73.08 months. In study B, morbidity was 12.6%. The rate of chronic pain and recurrence was similar (0.9%), with a mean of 76 months. Conclusion: plasty is in the treatment of inguinal hernias, the best surgical approach. The choice between autoplasty and alloplasty based on the ratio between the results of each techniques.

Auteur(s) : Seck M, Thiam O, Touré AO, Gueye ML, Seye Y, Cissé M, Ka O, Dieng M.
Pages : 62-65
Année de publication : 2017
Revue : Surg Chron
N° de volume : 22(2)
Type : Article
Mise en ligne par : SECK Mamadou