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- W2087942743 abstract "La utilización de la técnica del plug de Lichtenstein se ha convertido en el patrón de referencia del tratamiento de la hernia crural. Revisamos 120 hernioplastias crurales operadas electivamente en la Unidad de Cirugía Sin Ingreso del Hospital de Elche desde junio 1992 hasta mayo 1998. Se realizó al 100% de los pacientes hernioplastia de Lichtenstein con plug de polipropileno. El seguimiento medio ha sido de 68 meses. La edad media de los pacientes fue 50,3 años, siendo 85 mujeres (72%). La técnica anestésica empleada fue preferentemente local con sedación (90%). No hubo mortalidad operatoria. El tiempo quirúrgico medio fue de 32 min. Las complicaciones fueron: 2 seromas (1,6%), 3 hematomasufusión subcutánea (2,5%). No se produjeron infecciones de la herida, rechazos de las prótesis ni recidivas. La hernioplastia con plug de polipropileno según la técnica de Lichtenstein ofrece unos resultados excelentes con índices de morbimortalidad muy bajos y con tasas de recidivas menores a las técnicas herniorráficas clásicas, por lo que se convierte en la técnica de elección en defectos del anillo crural. The present “gold standard” for the repair of femoral hernias is hernioplasty using the Lichtenstein plug. We review 120 cases of elective outpatient femoral hernia repair performed at the Elche Hospital between June 1992 and May 1998. A Lichtenstein polypropylene plug was employed in every case. The mean follow-up was 68 months. The average patient age was 50.3 years; 85 patients (70.8%) were women and 35 (29.2%) were men. Local anesthesia with sedation was used in 90% of cases. There were no deaths. The mean duration of the procedure was 32 minutes. The complications included seroma (n = 2, 1.6%) and subcutaneous hematoma (n = 3, 2.5%). There were no cases of wound infection, rejection of the prosthesis or recurrence. Hernioplasty using a polypropylene plug according to the Lichtenstein procedure is associated with an excellent outcome with regard to morbidity and mortality, with recurrence rates well below those associated with conventional techniques for hernia repair. Thus, the use of polypropylene prosthetic plugs for femoral ring hernioplasty has become commonplace and the standard of care." @default.
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- W2087942743 date "2001-01-01" @default.
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- W2087942743 title "¿Es la hernioplastia con tapón de polipropileno según técnica de Lichtenstein la primera opción en el tratamiento de la hernia crural?" @default.
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- W2087942743 doi "https://doi.org/10.1016/s0009-739x(01)71683-1" @default.
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