EIGHT-YEAR EXPERIENCE OF INGUINAL HERNIAS REPAIR: A SERIES OF 1540 PATIENTS

Objective: Hernia repair is a surgical procedure as old as the history of surgery. All hernia repair methods have been developed with the aim of re- ducing cost, recurrence rate and postoperative pain. In this study, the recur- rence rates of different surgical procedures were evaluated retrospectively. Materials and Method: We evaluated retrospectively 1540 patients ope- rated on between 1992 and 2000 in Gazi University, Faculty of Medicine Department of General Surgery. Only 514 of them were well documented. The patients were divided into groups according to demographic features, diagnoses, applied surgical techniques, time of surgical intervention, and recurrence, and comparisons were performed. Results: Lichtenstein Tension Free repair, anatomic repair and laparoscopic repair were applied in 61.5%, 33.5% and 5.1% of cases, respectively. There is no significant difference between the recurrence rates of hernia repair. When the patients were divided into two groups according to operation year (1992-1996 and 1997-2000), in the first four years the recurrence rates of the repair methods were similar but in the second four years the recurrence rate of anatomic repairs was threefold higher (p>0.05). Conclusion: Lichtenstein Tension Free repair is a hernia repair method that can be applied safely with low recurrence rates in general surgery clinics. Key Words: Hernia repair, recurrence rate, Lichtenstein Tension Free repa- ir, anatomic hernia repair. INGUINAL HERNI ONARIMINDA 8 YILLIK DENEYIMLERIMIZ: 1540 VAKALIK BIR SERI Amac: Herni onarimi cerrahinin tarihi kadar eski bir cerrahi prosedurdur. Gelistirilen tum herni onarim yontemlerinde dusuk maliyet ve rekurrens orani ile postoperatif agrinin azaltilmasi amaclanmistir. Bu calismada de- gisik operasyon yontemlerine ait nuks oranlari retrospektif olarak deger- lendirilmektedir. Gerec ve Yontemler: Bu calismada 1992-2000 yillari arasinda Gazi Uni- versitesi Tip Fakultesi Genel Cerrahi Anabilim Dalinda opere edilen 1540 hasta retrospektif olarak incelendi. Bu hastalardan kayitlarina eksiksiz ola- rak ulasilabilen 514’u calismaya alindi. Hastalar demografik ozellikleri, uygulanan cerrahi islem, cerrahinin uygulanma zamani, gelisen rekurrensler acisindan gruplara ayrildi ve karsilastirildi. Sonuclar: Hastalarin %61.5’ine Lichtenstein herni onarimi (tension free onarim), %33,5’ine anatomik ona- rim ve %5,1’ine ise laparoskopik herni onarimi uygulanmis olup rekurrens oranlari acisindan cerrahi yontemler arasinda farklilik tespit edilmedi. 1992- 1996 ve 1997-2000 donemlerinde opere edilen hastalar ayri ayri incelen- diginde ilk 4 yillik gruptaki rekurrens oranlari acisindan fark olmamasina ragmen ikinci 4 yillik donemde anatomik onarimlarin nuks oraninin 3 kat fazla oldugu gorulmustur (p>0.05). T artisma: Lichtenstein herni onarimi gunumuzde bir cok cerrahi kliniginde dusuk rekurrens oranlarina sahip guvenilir bir herni onarim yontemidir. Anahtar Kelimeler: Herni onarimi, rekurrens orani, Lichtenstein herni onarimi, anatomik onarim.