Kugel hernia repair: Open "mini-invasive" technique. Personal experience on 620 patients

被引：21

作者：

Ceriani V. ^{[1
]}

Faleschini E. ^{[1
]}

Bignami P. ^{[1
]}

Lodi T. ^{[1
]}

Roncaglia O. ^{[1
]}

Osio C. ^{[1
]}

Sarli D. ^{[1
]}

机构：

[1] General Surgery Unit, Policlinico Polispecialistico Multimedica

来源：

Hernia | 2005年 / 9卷 / 4期

关键词：

Inguinal hernia; Kugel technique; Preperitonel approach; Prosthetic repair;

D O I：

10.1007/s10029-005-0015-9

中图分类号：

学科分类号：

摘要：

A large monoinstitutional series adopting the Kugel retroparietal technique for inguinal hernia surgery is analysed. Our aim is to assess the "mini-invasiveness" of this technique. Six hundred and twenty patients (pts) affected by monolateral inguinal hernia were treated with a preperitoneal alloplasty with a posterior approach (Kugel hernia repair, KHR) between January 2002 and September 2004. The surgical incision extension was 3.5 cm on average (range 2-4.5). The mean operation time was 33 min (range 20-45). Spinal anaesthesia and ambulatory procedure were applied in 595 cases (96%). Postoperative complications affected 20 pts (3%). The postoperative pain was well controlled. No chronic neuropathic pain was registered at follow-up. Patients resumed work after an average of 9 days (range 7-12) from operation. Recurrence rate was 0.8%. Conclusions. The Kugel hernia repair satisfies the standards to be awarded as a "mini-invasive" technique. © Springer-Verlag 2005.

引用

页码：344 / 347

页数：3

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