BACKGROUND Previous reviews of the effectiveness of antibiotic prophylaxis for elective inguinal hernia repair were not conclusive owing to the limited number of patients enrolled in randomized controlled trials (RCTs). However, since new RCTs involving patients undergoing tention-free hernioplasty have been published in recent years, we performed a new meta-analysis to evaluate the effectivene...

INTRODUCTION The prohibitive costs and scarcity of the imported prosthetic mesh for hernioplasty, has prevented its widespread use in most developing countries. We then set out to ascertain the outcome, complications (undue pain, wound infection, recurrence, and mesh extrusion) and cost implications in the use of a nontreated mosquito-net for inguinal hernioplasty. MATERIALS AND METHODS A pro...

BACKGROUND AND OBJECTIVES Despite the improvement of the surgical technique and several experiences reported in literature about prosthetic incisional hernioplasty, the prevalence rate of recurrence and of the classic complications has not changed over the years. We analyze our caseload, establishing some technical cornerstones in order to reduce their occurrence. PATIENTS AND METHODS 283 pat...

Open and laparoscopic tension-free techniques of hernia repair using synthetic meshes are a well-accepted practice with an excellent patient comfort and a low recurrence rate. It is well known that, direct contact of the mesh to the vessels in the inguinal canal and perimesh fibrosis may have a negative impact on testicular flow. Whether different operative techniques or mesh materials used hav...

BACKGROUND Inguinal hernia repair is the most common procedure in general surgery and 80,000 operations are performed annually in Great Britain, 100,000 in France and 700,000 in the US. Given its high frequency has a major impact, both in the medical and economic aspects. AIM Analyze the immediate postoperative complications comparing mesh versus non mesh hernioplasty. METHOD Randomized con...

Tension-free hernia repair with a mesh plug causes relatively low postoperative pain and allows an earlier return to work, as well as a low recurrence rate. Occasionally, however, hernioplasty can result in complications including mesh migration and invasion of intra-abdominal organs. This report describes the case of a 57-year-old man who had undergone a right inguinal hernioplasty 13 years pr...

Reduction en masse refers to the rare occurrence of an incarcerated inguinal hernia arising from the manual reduction of a hernia. Such a condition constitutes a medical emergency because the hernia contents, such as the small bowel, remain strangulated in the preperitoneal space. Therefore, an early and accurate diagnosis, with early treatment, is important. A 61-year-old Japanese man presente...

Abstract Aim To present individual approach for patients with abdominal wall eventration using various anterior component separation techniques (aCST) mesh augmentation. Materials and Methods Between January 2008 April 2022, 194 underwent surgery by single surgeon. Surgical treatment consists: a) enlargement of the cavity different aCST (Ramirez CST, modified CST in presence enterostomies, “ope...

A 55-year-old man, who had a medical history of diabetic nephropathy resulting in end-stage renal failure, was receiving continuous ambulatory peritoneal dialysis (CAPD) as renal replacement. He underwent bilateral open inguinal hernioplasty 3 years earlier. He presented with a sudden onset of right scrotal oedema after CAPD. Physical examination showed a non-tender swelling over the right groi...