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At least 19 recordsLinked to original sources
PubMed1979

Sickness absence after inguinal herniorrhaphy.

Eight hundred and ninety-nine men were studied, aged 16-65 inclusive, who underwent an elective inguinal herniorrhaphy during 1970 and 1971 in eight hospitals in Wessex, and under nine consultant surgeons. There was a significant variation in postoperative inpatient stay and total sickness absence between hospitals and between consultants. The physical activity involved in the patient's occupation, his age at operation, previous sickness absence, bilateral herniorrhaphy, attendance at follow-up outpatients' clinic, type of repair, and the influence exerted by three hospitals and two consultants accounted for only 21% of the variation in total sickness absence. The general practitioners who had referred patients to the hospitals for herniorrhaphy, and the consultant surgeons who carried out the operations, were sent a questionnaire to ascertain their attitudes towards follow-up outpatient appointments and the various factors identified in the first part of the study as significantly influencing total sickness absence. A higher proportion of GPs who felt that an outpatient appointment was necessary before return to work was found in relation to the patients who had the longest mean total sickness absences than among the GPs who looked after the patients with shorter total sickness absences.

Adolescent↗
PubMed1979

Inguinal herniorrhaphy and sperm-agglutinating antibodies in infertile men.

In 10 infertile men with sperm-agglutinating antibodies in serum and a history of inguinal herniorrhaphy the site of the previous operation was explored. Five of the men had an occlusion of the vas deferens and in three others spermatoceles were noted in the epididymis. The occlusion of the vas deferens was in the area of the previous herniorrhaphy. Infertility caused by the development of sperm antibodies may occasionally be a long-term consequence of inguinal herniorrhaphy.

Autoantibodies↗
PubMed1977

Simplified hiatus herniorrhaphy.

A brief synopsis of problems with hiatus herniorrhaphy surgery over its 25-year history includes extensive surgery, recurrences, and postoperative swallowing difficulties. A review of the simple central tendon hiatal herniorrhaphy technic and seven-year results include the adoption of a mersilene strip rather than external rectus fascia in anchoring the esophagogastric junction to the central tendon. The same excellent exposure and visibility allowing the lower esophageal segment to be well secured definitely within the abdomen is completely illustrated. Seven-year results in 138 patients operated upon are reviewed including mortality, recurrence rates, postoperative dysphagia, gas-bloat, and loss of regurgitating ability.

Hernia, Diaphragmatic↗
PubMed1979

Simultaneous open prostatectomy and inguinal herniorrhaphy.

We report our results in 18 patients who had simultaneous open prostatectomy and inguinal herniorrhaphy between 1969 and 1976, and present our criteria for patient selection, operative technic, and postoperative results. The incidence of postoperative wound infection and recurrent hernia was 5.6% and 0 respectively, which compares favorably to results of herniorrhaphy and prostatectomy performed separately. The historic development of this procedure and the results of previously reported series are reviewed.

Hernia, Inguinal↗
PubMed1977

Inguinal herniorrhaphy under local anesthesia. A prospective study of 100 consecutive patients with emphasis of perioperative morbidity and patient acceptance.

For various reasons, repair of inguinal hernias under local anesthesia is not well accepted. The purpose of this study is to evaluate the effectiveness of local anesthesia in inguinal hernia repairs. One hundred consecutive inguinal herniorrhaphies are reported. The selection of patients, surgical technique, and incidence of intraoperative and postoperative complications are reported. Patient acceptance and their immediate postoperative course are also described. The study demonstrates that inguinal hernias can be easily repaired under local anesthesia, complications are minimal, and patient acceptance, excellent. We strongly recommend thath this form of anesthesia be used in the "routine" repair of inguinal hernias in cooperative patients.

Adult↗
PubMed1979

Sleep in herniorrhaphy patients.

The nocturnal sleep patterns of 10 elective herniorrhaphy patients were documented by continuous, 8 hour polygraphic recordings from night 1 of hospitalization until discharge on day 4 or 5. Subjects showed a dramatic loss of REM sleep and stages III and IV and major increases in time awake and drowsy for the first 2 postoperative nights, with a gradual return toward normal sleep over the hospitalization period. The significance for healing of the loss of stages REM, III, and IV is discussed, especially with regard to hospital procedures and the use of medications.

Adolescent↗
PubMed1975

Preperitoneal herniorrhaphy. Adjunct to prostatic surgery.

The preperitoneal approach to inguinal hernia repair can easily be applied at the time of open prostatectomy. Our experience with this procedure is reported, and the surgical technique is described. A preperitoneal herniorrhaphy is easy to perform through the same incision as the prostatectomy, avoids opening new surgical spaces, adds little to the operating time, and saves the patient another surgical procedure. Good results have been achieved in that we have had only 3 recurrences in 38 hernias reparied by the preperitoneal approach.

Aged↗
PubMed1977

Infertility as a consequence of bilateral herniorrhaphies.

The involvement of internal genitalia in inguinal hernias occurring in female infants and children has been reported. We present here an interesting infertility problem as a consequence of accidental "tubal ligation* secondary to bilateral inguinal herniorrhaphies during childhood. Several postulated etiologic factors in the development of such hernias are presented, and the potential occurrence of similar problems in other individuals is emphasized. We urge very meticulous technique when such hernias are repaired, and we reiterate the importance of a thorough medical history during infertility investigation. The potential frequency of this uncommon but devastating problem presenting in an infertility investigation may be underestimated. Additionally, it is conceivable that, with the increasing survival rates of prematurely born infants who are at increased risk for such hernias, this problem may become more frequent.

Adult↗
PubMed1979

Low-dose heparin prophylaxis in herniorrhaphy? A prospective trial in bleeding complications.

Low-dose heparin (L.D.H.) prophylaxis gives good protection against deep venous thrombosis (D.V.T.). In the case of subjects presenting for herniorrhaphy the literature is less unanimous regarding the chance of wound hematoma. In this prospective randomised, matched trial in 86 patients, a wound hematoma incidence of 36 percent was noted in the treatment group as against 7% in the control group. This is statistically significant at the P less than 0.001 level.

Acenocoumarol↗
PubMed1975

Recurrence after preperitoneal herniorrhaphy in the adult.

The recurrence rate was determined for 1,186 men aged 18 to 96 years (average, 56 years) operated on for inguinal herniation between Jan 1, 1968 and June 30, 1974. (Mean follow-up was three years five months). Fourteen hundred twenty defects were repaired through a modified preperitoneal approach. Eight patients (0.6%), average age 76 years, dide postoperatively. One hundred seven patients (9.0%), average age 65 years, have died since. Seventeen percent had bilateral herniation repaired simultaneously. Ninety-four (6.6%) have had recurrence. Indirect inguinal decects predominated (58%), a recurrence rate of 3.7%. Five hundred twenty-three primary direct defects were repaired; 8.2% recurred. There were 237 repairs for recurrence in 216 patients (average age, 59 years), a recurrence rate of 9.7%.

Abdominal Muscles↗
PubMed1976

Preperitoneal prosthetic inguinal herniorrhaphy without a relaxing incision.

A consecutive series of 276 men had 317 inguinal hernias repaired by the preperitoneal approach. Of these, 162 (59 per cent) had 194 (61 per cent) "complete" repairs using Marlex prostheses. Fifty-five of 152 indirect hernias (36 per cent) were patched similarly. Seventeen of twenty-two mixed bilateral defects (77 per cent) had a prosthetic patch. Thrity-three of forty-eight repairs (68 per cent) for recurrent hernia in forty-five men also employed Marlex. Two patients died postoperatively. Four of 194 repairs using Marlex failed. These preliminary results indicate that the advantages of preperitoneal exposure can be complemented by an initially satisfactory technic of repair using a prosthesis instead of the classic relaxing incision, which is difficult to use with this posterior approach.

Aged↗
PubMed1979

Variation in hospital stay after inguinal herniorrhaphy.

A study was carried out of 1086 men aged 16-65 inclusive who were admitted under nine consultants to eight hospitals in Wessex for elective repair of an inguinal hernia. The mean postoperative stay was 5.7 +/- SD 2.7 days. For different consultants operating at any one hospital the mean postoperative stays were similar, whereas for consultants who operated at more than one hospital they were significantly different. The postoperative stay was also significantly related to the size of the hospital, development of postoperative complications, time spent on the waiting list, type of repair used, bilateral herniorrhapy, and the use of convalescent facilities. The hospital therefore appears to exercise a greater influence in determining the mean postoperative stay than does the individual consultant.

Adolescent↗