Original ArticlesThree Thousand One Hundred Seventy-Five Primary Inguinal Hernia Repairs: Advantages of Ambulatory Open Mesh Repair Using Local Anesthesia
Section snippets
Materials and Methods
The British Hernia Centre is a private free-standing day surgery clinic with full operating facilities, monitoring, and recovery suite. All operations were undertaken by three surgeons with a special interest in hernia surgery.
Within 1 Month
Early complications are detailed in Table 1. There were no postoperative deaths and no case of urinary retention. Eight patients had anterior thigh muscle weakness and all recovered within 2–3 hours. Two patients required wound reexploration for persistent bleeding within hours of completion of the operation with immediate resuture of the skin followed by uninterrupted recovery. There was clinical evidence of a thrombotic complication in two patients: in one, calf pain occurred on the second
Discussion
The surgical literature is replete with reports and trials of hernia repairs using a variety of methods.2, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24 Many do not separate the treatment and results of repair of primary and recurrent hernias, which are separate entities with different causes, a different pathology, and requiring different methods of repair. This analysis is restricted to a review of primary inguinal hernia repairs.
The first major variation of the Bassini hernia
Acknowledgements
We thank Mr. Andrew Westlake, msc fss for statistical advice and review, Mrs. Marlena Stanboulian for all secretarial work, and Mrs. Lara Samuels for data collection.
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