OP 147. Open Preperitoneal Versus Anterior Approach for Recurrent Inguinal Hernia

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A Saber, G. Ellabban, M. Gad, K. Elsayem

Chair(s): György Wéber, Nikolay Lvovich Matveev, Péter Ónody

8:30 - 8:40h at Erszebet Room (A)

Categories: Abdominal Wall and Hernia, Oral Session

Session: Oral Session XVII - Abdominal Wall and Hernia

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Introduction
Repair of the resulting recurrent hernia is a daunting task because of already weakened tissues and obscured and distorted anatomy. The aim of this study is to compare the posterior preperitoneal versus anterior tension-free approach for repair of unilateral recurrent inguinal hernia regarding complications and early recurrence.

Patients & Methods
64 Patients were divided into 2 main groups; Group A patients were subjected to posterior preperitoneal approach and group B were subjected to conventional anterior tension-free repair. Primary end point was recurrence and secondary end points were time off from work, postoperative pain, scrotal swelling and wound infections .

Results
The mean hospital stay was 1.2 days and 4.7 , the mean time to return work was 8.2 and 11.2 . days and the mean time off from work was 9.4 and 15.9 days in group A and B respectively. The final pain score per patient and the overall complication rate were higher.

Conclusion
The open preperitoneal repair offers the advantages of low recurrence rate and allows covering all potential defects with one piece of mesh and is far superior to the anterior approach.