Three stitch hernioplasty: A novel technique for beginners

Objective: To analyze mesh fixation with minimum sutures and postoperative complications. Study Design: Prospective study. Place and Duration of Study: Department of General Surgery, Thanjavur Medical College and Hospital, Tamil Nadu, from July 2010 to June 2012. Materials and Methods: All inguinal...

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Autores principales:	Manikandan Patchayappan, Sangara Narayanan Narayanasamy, Nagarajan Duraisamy
Formato:	article
Lenguaje:	EN
Publicado:	Thieme Medical and Scientific Publishers Pvt. Ltd. 2015
Materias:	postoperative complications prolene sutures three stitch hernioplasty Medicine R
Acceso en línea:	https://doaj.org/article/0b5e0b61bc734ab1a216f55a20a76c88
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spelling	oai:doaj.org-article:0b5e0b61bc734ab1a216f55a20a76c882021-12-02T17:05:54ZThree stitch hernioplasty: A novel technique for beginners2231-07702249-446410.4103/2231-0770.166891https://doaj.org/article/0b5e0b61bc734ab1a216f55a20a76c882015-10-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.4103/2231-0770.166891https://doaj.org/toc/2231-0770https://doaj.org/toc/2249-4464Objective: To analyze mesh fixation with minimum sutures and postoperative complications. Study Design: Prospective study. Place and Duration of Study: Department of General Surgery, Thanjavur Medical College and Hospital, Tamil Nadu, from July 2010 to June 2012. Materials and Methods: All inguinal hernia patients, who fulfilled the sample selection criteria, were admitted and planned for surgery. The prolene mesh is fashioned as in Lichtenstein's repair, placed and fixed only by three prolene stitches. The first stitch is made in the periosteum of pubic tubercle. The second stitch is taken in the inguinal ligament (1.5 cm lateral to the pubic tubercle) and the third stitch is from the medial most part of the conjoint tendon, that is, the mesh is fixed in the medial aspect alone. Results: Majority of the patients fall between the age group of 40 and 60 (72%) years and all are male patients. Of the total cases, 50% were right sided, 25% were left sided, and 25% were bilateral. Of the postoperative complications, 12% had seroma, 4% had hematoma, 2% developed surgical site infection, 2% developed chronic groin pain, 1% presented with recurrence, and none developed foreign body sinus. Conclusion: The incidence of long-term complications of three stitch hernioplasty are comparable to that of the other standard, tension-free open hernia repair as well as other laparoscopic procedures. Moreover, the three stitch hernioplasty method is a simple method, easy for the beginners to adopt, has less foreign body reaction, less time consuming, causes less tissue trauma, and lesser chance for vascular injury.Manikandan PatchayappanSangara Narayanan NarayanasamyNagarajan DuraisamyThieme Medical and Scientific Publishers Pvt. Ltd.articlepostoperative complicationsprolene suturesthree stitch hernioplastyMedicineRENAvicenna Journal of Medicine, Vol 05, Iss 04, Pp 106-109 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	postoperative complications prolene sutures three stitch hernioplasty Medicine R
spellingShingle	postoperative complications prolene sutures three stitch hernioplasty Medicine R Manikandan Patchayappan Sangara Narayanan Narayanasamy Nagarajan Duraisamy Three stitch hernioplasty: A novel technique for beginners
description	Objective: To analyze mesh fixation with minimum sutures and postoperative complications. Study Design: Prospective study. Place and Duration of Study: Department of General Surgery, Thanjavur Medical College and Hospital, Tamil Nadu, from July 2010 to June 2012. Materials and Methods: All inguinal hernia patients, who fulfilled the sample selection criteria, were admitted and planned for surgery. The prolene mesh is fashioned as in Lichtenstein's repair, placed and fixed only by three prolene stitches. The first stitch is made in the periosteum of pubic tubercle. The second stitch is taken in the inguinal ligament (1.5 cm lateral to the pubic tubercle) and the third stitch is from the medial most part of the conjoint tendon, that is, the mesh is fixed in the medial aspect alone. Results: Majority of the patients fall between the age group of 40 and 60 (72%) years and all are male patients. Of the total cases, 50% were right sided, 25% were left sided, and 25% were bilateral. Of the postoperative complications, 12% had seroma, 4% had hematoma, 2% developed surgical site infection, 2% developed chronic groin pain, 1% presented with recurrence, and none developed foreign body sinus. Conclusion: The incidence of long-term complications of three stitch hernioplasty are comparable to that of the other standard, tension-free open hernia repair as well as other laparoscopic procedures. Moreover, the three stitch hernioplasty method is a simple method, easy for the beginners to adopt, has less foreign body reaction, less time consuming, causes less tissue trauma, and lesser chance for vascular injury.
format	article
author	Manikandan Patchayappan Sangara Narayanan Narayanasamy Nagarajan Duraisamy
author_facet	Manikandan Patchayappan Sangara Narayanan Narayanasamy Nagarajan Duraisamy
author_sort	Manikandan Patchayappan
title	Three stitch hernioplasty: A novel technique for beginners
title_short	Three stitch hernioplasty: A novel technique for beginners
title_full	Three stitch hernioplasty: A novel technique for beginners
title_fullStr	Three stitch hernioplasty: A novel technique for beginners
title_full_unstemmed	Three stitch hernioplasty: A novel technique for beginners
title_sort	three stitch hernioplasty: a novel technique for beginners
publisher	Thieme Medical and Scientific Publishers Pvt. Ltd.
publishDate	2015
url	https://doaj.org/article/0b5e0b61bc734ab1a216f55a20a76c88
work_keys_str_mv	AT manikandanpatchayappan threestitchhernioplastyanoveltechniqueforbeginners AT sangaranarayanannarayanasamy threestitchhernioplastyanoveltechniqueforbeginners AT nagarajanduraisamy threestitchhernioplastyanoveltechniqueforbeginners
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Three stitch hernioplasty: A novel technique for beginners

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