Article: article from journal or magazin.
10 Jahre Erfahrung mit einer modifizierten Operationstechnik nach Shouldice für Inguinalhernien bei Erwachsenen. I. Methode und Resultate bei 726 nachkontrollierten Operationen [10 years' experience using a modified Shouldice surgical technic for inguinal hernia in adults. I. Method and results in 726 operations with follow-up]
English Abstract Journal Article --- Old url value: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=3552483 --- Old month value: Feb
Since 1973 we have used a modified Shouldice repair to treat inguinal hernias in adults. The repair was performed on unselected patients. The procedure was performed by both senior surgeons and surgeons in training. Over a 10-years period, 880 transversalis fascia repairs were done and 726 (82.5%) were examined by the authors 12-142 months after the operation (mean time 66.1 months). In 94.2% of the 726 repairs the patients were satisfied with the result. Follow-up studies revealed testicular atrophy in 0.6%, deep wound infection in 0.8% and an overall recurrence rate of 5.8%. The recurrence rate was not significantly different after direct, indirect, combined or sliding hernias. In 25% of recurrences the patients were asymptomatic and unaware of the recurrence.
Adult, Fascia/surgery, Female, Follow-Up Studies, Hernia, Inguinal/surgery, Humans, Male, Muscles/surgery, Postoperative Complications/etiology, Recurrence, Suture Techniques
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