engleski

Tension free hernioplastica (Lichtenstein) vs laparosocopy

Tension free hernioplastica of inguinal hernia is state of art. We compare two methodes tension free hernioplastica with polypropylene mesh. In 1987 we started with open and 1994 with laparosocpic tension free hernioplastica. We performed 111 open and 216 laparoscopic procedure. There were 18 bilateral and 7 recurrent hernia in open group, 23 bilateral and 19 recurrent in laparoscopic. Conversion rate is 0, 4%. Postoperative complication rate is 3, 5% The recurrence rate is 0, 2% and 1, 3% respectively Laparoscopic hernioplastica is expensive but causes less pain and permits earlier return to normal activities (7 vs 28 days). Advantages of laparoscopic hernioplastica are more obvious in case of bilteral and recurrent hernias. Dilema open vs laparoscopic tension free hernioplastica tension of inguinal hernia are still present.

Tension free hernioplastica, Lichtenstein, laparoscopy

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