Outcomes of the surgical treatment of patients operated of inguinocrural hernia

Abstract

Background: in Cuba, one third of all the operations carried out in a clinical surgical hospital are due to inguinocrural hernia. The recurrence of the operated hernia is the variable that has motivated the proliferation of techniques, and it is considered the failure of the surgery.
Objetive: Characterizing the patients operated of inguinocrural hernia according to the results of the surgical technique and the used anesthetic method, and also the occurrence of complications.
Materials and methods: a prospective, descriptive, observational study was carried out on the behavior of the surgery of patients operated of inguinocrural hernia in the Military Hospital Mario Muñoz Monroy, of Matanzas, during the period from January to December 2012. The universe was formed by 121 operated patients, as much elective as emergency ones. There they were analyzed the used surgical technique, the kind of anesthesia and the complications. 
Outcomes: the Liechtenstein technique was the most used one, with 83.5 %. 56.2 % of the patients were operated with spinal anesthesia. 6.6 % showed seroma in the wound, being the most frequent complication.
Conclusions: the Liechtenstein technique was the one more frequently carried out.
The laparoscopic technique was used in a little number of patients.  There it was a little use of local anesthesia. The surgery place infection exceeded the estimated number for clean surgery. The recurrence was more frequent after making herniorrhaphies; the percent of the series was low.