Evaluations of early postoperative complications in patients with inguinal hernias

Abstract

Introduction: Inguinal hernia is a clinical and anatomical entity, very frequently encountered in surgical pathology structure, and the surgical treatment of it is always discussed in the special literature, both through the prism of surgical techniques used and through the prism of possible postoperative complications depending on the type of plasty. Currently, there is no consensus about the approaches towards the principles of surgical treatment of inguinal hernias, as well as a pertinent review of early postoperative complications depending on the type of surgical procedure. Aim: Comparative analysis of early postoperative complications according to the methods of plasty of the inguinal canal in different types of hernias. Materials and Methods: The study includes retrospective analysis of 94 patients examined and operated in aseptic surgery department SCM1, between 2009-2011, of which 6 patients with congenital inguinal hernias (6,38%), 21 patients with inguinal hernia (22,34%), 41 patients with direct inguinal hernias (43,61 % ), 26 patients with recurrent hernias (27,65%). Results: Prefunicular hernioplastia techniques were performed in 9 (9,6 %) cases, to 35 (37,2%) patients were performed retrofunicular plastia and 50 (53,2%) cases - hernioplasty with synthetic mesh. In early postoperative period were registered the following complications: paresthesia (5), wound hematoma (3), acute urinary retention (3), wound suppuration (1), swelling of the scrotum (4). Patients with plasty using synthetic mesh show fewer early postoperative complications: paresthesia (2), hematoma (1), acute urinary retention (1), and swelling of the scrotum (1). Conclusions: The incidence of early postoperative complications in plasty with synthetic mesh is significantly smaller versus the pre- and retrofunicular techniques with own tissue. The surgical cure of recurrent hernias is preferably using synthetic prostheses.