Summary
This is a prospective cohort study of the early results in tension-free hernioplasty in both ambulatory surgery (AS) and short-stay surgery (SS).
We recorded data of 609 patients with 707 hernias. 346 patients (57%) were operated on by AS and 253 (43%) as SS. Tension-free hernioplasty was performed in 95% of cases. Regional anesthesia was the most common anesthetic procedure in both groups. Patients of the AS group were younger (AS = 49 years, SS = 62 years) and had fewer associated diseases. The commonest immediate complication was urinary retention in both groups (AS = 9.5%, SS = 10.5%). Hematoma was the most common early complication but there were no differences between groups (AS = 5.2%, SS−7%). Wound infection rate was 2.3 % (AS = 1.4%, SS = 3.2%), but removal of the mesh was not needed in any case. Other complications were sefoma (AS = 2.8, SS = 2.9%), pain (AS = 2.2%, SS = 1.2%), and orchitis (0.3% in both groups). There were low early complication rates in both groups, with better results (not significant) in the AS group. The advantages of ambulatory surgery make this the method of choice in suitable patients.
Article PDF
Similar content being viewed by others
Avoid common mistakes on your manuscript.
References
Amid PK, Shulman AG, Lichtenstein IL (1993) Critical scrutiny of the open ≪tension-free≫ hernioplasty. Am J Surg 165: 369–371
Davis JE, Sugioka K [1987] Selecting the patient for major ambulatory surgery: surgical and anesthesiology evaluations. Surg Clin North Am; 67: 721–729
Gilbert A (1989) An anatomic and functional classification for the diagnosis and treatment of inguinal hernia. Am J Surg 157: 331–333
Lichtenstein IL, Shulman AG, Amid PK (1993) The cause, prevention and treatment of recurrent groin hernia. Surg Clin North Am 73: 529–544
Lichtenstein IL, Shulman AG, Amid PK, Montllor MM (1989) The tension free hernioplasty. Am J Surg 157: 188–193
Mezei J, Chung F (1999) Return Hospital Visits and Hospital readmissions after ambulatory surgery. Ann Surg 230; 721–727
Porrero JL, Sanchez Cabezudo C (1999) Cirugia Mayor Ambulatoria en Cirugfa General. In ≪Anestesia para la Cirugia Ambulatoria≫ Edika Med. Barcelona. 119–140
Revuelta Alvarez S, Hernánz de la Fuente F, Puente Gomez C, Mayoral Gomez I, Ramón Roca C, Sierra Gil E, Marin Morales J, Sanudo Garcia S (1997). Ahorro económico propiciado por disminución de la incapacidad temporal con programas de cirugía mayor ambulatoria. Estudio multicéntrico. Cir Esp 61: 167–170
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Hernàndez-Granados, P., Quintàns-Rodrfguez, A. Early complications in tension-free hernioplasty: comparison between ambulatory and short-stay surgery. Hernia 4, 238–241 (2000). https://doi.org/10.1007/BF01201074
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF01201074