Simultaneous repair of bilateral inguinal hernias under local anesthesia

Annals of Surgery
P K AmidI L Lichtenstein

Abstract

The authors confirm the advantages of simultaneous repair of bilateral inguinal hernias, indicate that it is feasible to perform the procedure under local anesthesia, and suggest that when an open tension-free technique is used, the results are superior to those of laparoscopic repair of bilateral inguinal hernias. Between 1971 and 1995, simultaneous repair of bilateral inguinal hernias were performed in 2953 men. Initially, between 1971 and 1984, patients with indirect hernias underwent the traditional tissue approximation repair. Those with direct hernias had the same procedure, with the repair additionally buttressed by a sheet of Marlex mesh (Davol, Inc., Cronston, RI). Between 1984 and 1995, both direct and indirect hernias were repaired using the open tension-free hernioplasty procedure. The 2953 patients underwent simultaneous repair of bilateral inguinal hernias under local anesthesia in a private practice setting in general hospitals. In those cases in which the "tension free" technique was used, patients experienced minimal to mild postoperative pain and had a short recovery period, with a recurrence rate of 0.1%. Uncomplicated bilateral inguinal hernias in adults are best treated simultaneously. It is feasible to per...Continue Reading

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Citations

Nov 15, 2003·Lancet·Andrew Kingsnorth, Karl LeBlanc
Nov 7, 2000·Ambulatory Surgery·M A García-UreñaM S Jiménez
Oct 30, 1999·The British Journal of Surgery·M T KnookC J van Steensel
Jan 7, 2003·The Clinical Journal of Pain·Amudha S PoobalanW Alastair Chambers
Feb 28, 2009·Annals of Surgery·Irshad A ShaikhThomas Daniel
Nov 22, 2008·World Journal of Surgery·Andrew Kingsnorth
Jul 10, 2004·Langenbeck's Archives of Surgery·Jörg KöningerMichael Butters
Nov 27, 2004·Asian Journal of Surgery·Kin Yoong ChanAli Yaakub Jasmi
Jan 19, 2010·The Journal of Surgical Research·Andrew J RussMichael J Schurr
Mar 18, 2016·Hernia : the Journal of Hernias and Abdominal Wall Surgery·H NilssonP Nordin
May 30, 2002·American Journal of Surgery·Rami A DakkuriL William Traverso
May 21, 2016·Surgery Research and Practice·Feyzullah ErsozMehmet Mehdi Deniz
Nov 7, 2001·BMC Surgery·G H SakorafasG A Kassaras
Jul 6, 2010·International Journal of Surgery·E JustE Duque
Dec 8, 2016·ANZ Journal of Surgery·Julius G OlaogunJoshua T Ige
Oct 29, 2004·British Medical Bulletin·P J O'Dwyer
Mar 24, 2016·International Surgery·Recai CapoÄ LuOguz Ozbay
Dec 9, 2014·Annals of Surgical Treatment and Research·Ju Won ChyungYong Seog Jang
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Jul 1, 1997·Annals of Surgery·A Celdrán, A Seiz
Apr 1, 1997·The British Journal of Surgery·M J Notaras

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