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Tension-Free Hernioplasty Versus Conventional Hernioplasty for Inguinal Hernia Repair

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Abstract

Purpose

To show the effectiveness of tension-free hernioplasty for inguinal hernia repair.

Methods

We studied 106 patients who underwent inguinal hernia repair, as conventional hernioplasty in 52 and as tension-free hernioplasty in 54. We analyzed the operation time, postoperative complications, pain, time to resume daily activities, and frequency of recurrence in the short and long term.

Results

The average age of the patients was 46.2 years. The operation time was significantly shorter in the tension-free group than in the conventional group, at 33 ± 11.1 versus 49 ± 8.8 min, respectively (P < 0.05). The overall complication rate was 10%, being 1.5% in the tension-free group and 13% in the conventional group (P = 0.4). The visual-analogue pain scores after surgery were lower in the tension-free group than in the conventional group (P = 0.01). Patients in the tension-free group returned to their normal activities sooner than those in the conventional group (P < 0.05).

Conclusions

Tension-free hernioplasty resulted in less pain and allowed patients to return to their daily activities sooner than conventional hernioplasty.

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Authors and Affiliations

  1. Departamento de Cirugía y Unidad de Investigación en Epidemiología, Clínica Hospital General zona y Medicina Familiar No. 1, Instituto Mexicano del Seguro Social, Colima, Mexico

    Emilio Prieto-Díaz-Chávez, José Luis Medina-Chávez & Benjamín Trujillo-Hernández

  2. Unidad de Investigación Médica, Hospital de Especialidades, Centro Médico Nacional de Occidente Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, Mexico

    Alejandro González-Ojeda

  3. Centro Universitario de Investigaciones Biomédicas, Universidad de Colima, Colima, Mexico

    Rafael Coll-Cárdenas, Oscar Uribarren-Berrueta & Clemente Vásquez

Authors
  1. Emilio Prieto-Díaz-Chávez
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  2. José Luis Medina-Chávez
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  3. Alejandro González-Ojeda
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  4. Rafael Coll-Cárdenas
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  5. Oscar Uribarren-Berrueta
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  6. Benjamín Trujillo-Hernández
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  7. Clemente Vásquez
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Prieto-Díaz-Chávez, E., Medina-Chávez, J., González-Ojeda, A. et al. Tension-Free Hernioplasty Versus Conventional Hernioplasty for Inguinal Hernia Repair. Surg Today 35, 1047–1053 (2005). https://doi.org/10.1007/s00595-005-3087-3

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  • DOI: https://doi.org/10.1007/s00595-005-3087-3

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