Three hundred patients underwent inguinal hernia repair from January 2003 to December 2004; 40 patients were randomized to receive the PHS (Prolene Hernia System) mesh. Surgery was per- formed under local anesthesia in 80% of cases and under rachianes- thesia in the remaining 20%. There were 29 men and 11 women; mean age was 58,5 years (range 39-78).Postoperative pain was light and morbidity was low; all patients had early return to normal activities. Particularly, there were differ- ences between autonomous workers and employees: the former began work again 2-4 days after surgery in 85% of cases, while the latter began after 15-20 days. Immediate complications were rare and always minor: they included seroma (1%) and ecchymosis (1%). Follow-up examinations did not show any recurrences.
Dal gennaio 2003 al dicembre 2004 nella nostra Unità Ope- rativa sono stati sottoposti ad intervento chirurgico per ernia inguina- le 300 pazienti; in 40 pazienti, selezionati in modo random, abbia- mo impiegato la protesi PHS (Prolene Hernia System). L’intervento è stato eseguito nell’80% dei casi in anestesia loco-regionale, mentre il 20% è stato sottoposto a rachianalgesia. Di questi 40 pazienti, 29 erano di sesso maschile e 11 di sesso femminile (età media 58,5 anni, range 39-78).Il dolore postoperatorio è stato lieve e non ha compromesso co- munque la mobilizzazione precoce. Anche la morbilità è stata trascu- rabile e abbiamo comunque riscontrato una netta distinzione fra pazienti con lavoro autonomo e pazienti con lavoro dipendente. Tra le complicanze relative alla ferita chirurgica abbiamo osservato in 3 pazienti (1%) la presenza di un sieroma ed in altri 3 (1%) un’ecchi- mosi in corrispondenza della ferita; queste complicanze sono regredite spontaneamente entro 15- 20 giorni dall’ intervento. Ad oggi non abbiamo osservato recidive.
Ernioplastica inguinale con PHS: nostra esperienza [Inguinal hernioplasty with PHS: our experience]
ZANGHI' G;DI STEFANO, GRETA;G. BENFATTO;A. STRAZZANTI;BASILE F
2006-01-01
Abstract
Three hundred patients underwent inguinal hernia repair from January 2003 to December 2004; 40 patients were randomized to receive the PHS (Prolene Hernia System) mesh. Surgery was per- formed under local anesthesia in 80% of cases and under rachianes- thesia in the remaining 20%. There were 29 men and 11 women; mean age was 58,5 years (range 39-78).Postoperative pain was light and morbidity was low; all patients had early return to normal activities. Particularly, there were differ- ences between autonomous workers and employees: the former began work again 2-4 days after surgery in 85% of cases, while the latter began after 15-20 days. Immediate complications were rare and always minor: they included seroma (1%) and ecchymosis (1%). Follow-up examinations did not show any recurrences.File | Dimensione | Formato | |
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