Experiences and Retrospection of Treating Recurrent Hernia_West China Medical Journal

Authors：

 ZHANGJun-hua , WUGuo-fu

Department of General Surgery, the First People's Hospital of Shanghai Songjiang District, Shanghai 201600, P. R. China;

Corresponding?author：

Keywords：

Recurren inguinal hernia; Tension-free; Herniorrhaphy

DOI：

10.7507/1002-0179.20150579

Video：

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Objective To evaluate the curative effect of individualized tension-free hernia repair surgery in the treatment of recurrent inguinal hernia. Methods We retrospectively analyzed the clinical data of 31 patients with recurrent inguinal hernia treated by tension-free hernia repair surgery between August 2008 and August 2013. Among them, four underwent hernia ring pure mesh plug filling repair, 19 underwent modified Lichtenstein operation, and 8 underwent routine peritoneal clearance. Results Postoperative complications included one case of incision infection, 3 of incision seroma, 2 of incision scrotal hematoma, and one of urinary retention. The patients recovered well postoperatively, and the length of hospital stay ranged from 5 to 7 days. Follow-up was done for 25 patients with a time period of 4 to 38 months, averaging (10±13) months. No chronic pain or recurrence occurred during the follow-up. Conclusion Individualized optimal treatment options of operation time and method according to patients' conditions, and simple, effective and accurate operation can get out of the dilemma of repeated recurrences.

Citation： ZHANGJun-hua, WUGuo-fu. Experiences and Retrospection of Treating Recurrent Hernia. West China Medical Journal, 2015, 30(11): 2031-2034. doi: 10.7507/1002-0179.20150579 Copy

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8.	Zollinger RJ. An updated traditional classification of inguinal hernias[J]. Hernia, 2004, 8(4):318-322.
9.	Magnusson N. 腹股溝疝復發時間分析[J]. 中國實用外科雜志, 2011, 31(4):336-339.
10.	Neumayer L, Giobbie-Hurder A, Jonasson O, et al. Open mesh versus laporocopic mesh repair of inguinal hernia[J]. N Engl J Med, 2004, 350(18):1819-1827.
11.	Mikkelsen T, Bay-Nielsen M, Kehlet H. Risk of femoral hernia after inguinal herniorhephy[J]. BJS, 2002, 89(4):486-488.
12.	Chan G, Chan CK. Longterm results of a prospective study of 225 femoral hernia repairs:indications for tissue and mesh repair[J]. J Am Coll Surg, 2008, 207(3):360-367.
13.	Campanelli G, Pettinari D, Nicoosi FM, et al. Inguinal hernia recurrence:classification and approach[J]. Hernia, 2006, 10(2):159-161.
14.	Forte AA, Palurabo P. Inguinal hernioplasty:the gold standard of hernia repair[J]. Hernia, 2003, 7(1):35-38.
15.	Simons MP, Aufenacker T, Bay-Nielsen M, et al. European hernia society guidelines on the treatment of inguinal hernia in adult patients[J]. Hernia, 2009, 13(4):343-403.

1. Leertouwer TC, Gussenhoven EJ, Bosch JL, et al. Stent placement for renal artery stenosis[J]. Lancet, 1978, 1:801-802.
2. Weibull H, Bergqvist D, Bergentz SE, et al. Percutaneous transluminal renal angioplasty versus surgical reconstruction of aeherosclerotic venal artery stenosis:a prospective randomized study[J]. J Vasc Surg, 1993, 18:841-852.
3. Norlan BW, Schermerhorn ML, Rowell E, et al. Outcomes of renal artery angioplasty and stenting using low profile systems[J]. J Vasc Surg, 2005, 41:46-52.
4. Rutkow IM, Ribbins AW. Mesh plug hernia repair:a follow-up report[J]. Surgery, 1995, 117(5):597-598.
5. Ismail M, Garg M, Rajagopal M, et al. Impact of clos-suction drain in preperitoneal space on the incidence of seroma formation after laparoscopic total extraperitoneal inguinal hernia repair[J]. Surg Laparosc Endosc Percutan Tech, 2009, 19(3):263-266.
6. 許劍民, 鐘蕓詩, 任黎, 等. 無張力疝修補術在腹股溝復發疝中的應用價值[J]. 中華普通外科雜志, 2006, 21(8):580-584.
7. Lichtenstein IA, Amid PK. The tension-fleehemiophsty[J]. Am J Surg, 1989, 157(2):188-193.
8. Zollinger RJ. An updated traditional classification of inguinal hernias[J]. Hernia, 2004, 8(4):318-322.
9. Magnusson N. 腹股溝疝復發時間分析[J]. 中國實用外科雜志, 2011, 31(4):336-339.
10. Neumayer L, Giobbie-Hurder A, Jonasson O, et al. Open mesh versus laporocopic mesh repair of inguinal hernia[J]. N Engl J Med, 2004, 350(18):1819-1827.
11. Mikkelsen T, Bay-Nielsen M, Kehlet H. Risk of femoral hernia after inguinal herniorhephy[J]. BJS, 2002, 89(4):486-488.
12. Chan G, Chan CK. Longterm results of a prospective study of 225 femoral hernia repairs:indications for tissue and mesh repair[J]. J Am Coll Surg, 2008, 207(3):360-367.
13. Campanelli G, Pettinari D, Nicoosi FM, et al. Inguinal hernia recurrence:classification and approach[J]. Hernia, 2006, 10(2):159-161.
14. Forte AA, Palurabo P. Inguinal hernioplasty:the gold standard of hernia repair[J]. Hernia, 2003, 7(1):35-38.
15. Simons MP, Aufenacker T, Bay-Nielsen M, et al. European hernia society guidelines on the treatment of inguinal hernia in adult patients[J]. Hernia, 2009, 13(4):343-403.

West China Medical Journal

Experiences and Retrospection of Treating Recurrent Hernia

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