Frecuencia de recidivas en pacientes sometidos a hernioplastía usando la técnica Lichtenstein en el Hospital Teodoro Maldonado Carbo en el periodo 2006 – 2016.

Abstract

Background.- The repairing of an inguinal hernia has been a widely discussed subject by various surgeons that have contributed with their techniques, being Dr. Irving Lichtenstein’s the most revolutionary in its kind, which was introduced in 1984. The tension technique and the postoperatory management are remarkable characteristics, making it one of the favorites among surgeons when it comes to fixing hernias. Objective.- Determine the recurrence frequency in patients undergone hernioplasty using Lichtenstein’s technique in Hospital Teodoro Maldonado Carbo during a 10 year period. Methodology.- Retrospective study from January 1st 2006 to December 31st 2016, in which 401 patients intervened de novo through Lichtenstein’s technique were analyzed. Results.- In out of the goal of patients intervened through Lichtenstein’s technique, 7 presented recurrence and one hundred percent of these appeared in male patients. The age range with the highest recurrence frequency were patients under 50 years old (4 patients). Direct inguinal hernias were the most prone to recur, finding a total of 6 cases described as 2 bilateral direct inguinal hernias, 2 right direct inguinal hernias and 2 left direct inguinal hernias. 3 out of the 7 pacientes that recurred presented postoperative complications, of which 2 presented abdominal wall seroma, getting a p- value of 0.021, OR = 7.69, CI (1.65-35.76).