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Open tension free repair of inguinal hernia. Lichtenstein technique, advantages and limits in African context : retrospective study about 109 cases.

Lichtenstein technique is the "gold standard" in the hernia surgery. The aim of this study was to evaluate the results of this process in our conditions of exercise. Patients and methods: we performed descriptive retrospective study over a period of 10 years, with 109 cases of inguinal hernia repair according to the Lichtenstein technique. They were 76 men and 3 women, with an average age of 57.2 years. Hernia was recurrent in 60% of cases. Seat of the hernia was unilateral in 62% of cases. Results: spinal anesthesia was used in 93.5% of cases. Hernia was indirect in 52% of cases and direct in 42% of cases. According to Nyhus, type III was found in 60% of cases. Morbidity rate was 12%. They were 6 cases of scrotal and parietal hematoma and 2 cases of wound infection. Rate of recurrence and chronic pain were identical (0.9%). Conclusion: morbidity of the Lichtenstein technique is low even under conditions of more or less difficult.

Auteur(s) : Seck M, Cissé M, Sall M, Gueye ML, Touré AO, Thiam O, Ka O, Dieng M.
Année de publication : 2017
Revue : The Internet Journal of Surgery
N° de volume : Volume 34 Number 1
Type : Article
Mise en ligne par : SECK Mamadou