MANAGEMENT OF GREAT PROSTHESIS FOR REINFORCEMENT OF VISCERAL SAC COMPLICATIONS

Abstract

Great prosthesis for reinforcement of visceral sac is a guranteed operation for unilateral or bilateral inguinal hernias in otil patients or recurrent cases. The greatest use of this technique is in the patients who are at specially high risk for recurrence. We successfully accomplished this technique in 70 cases in our hospital while the patients were countiniously under our close inspection for 12 to 60 months. In this period we had some minor intraoperative incidents: 2 bladder perforations (39c), 21 peritoneal ruptures (309c). there was 4 bulging of groin area (69c) on the second postoperative day. All of these incidents had satisfactory outcome, 'there were no infection of prosthesis also no evidence of phelbit'ts or emboli in our patients, but there was wound infection in one case (1.59c.) which had manageable outcome. Two recurrences (39c) accured in our series. Inspite of above - mentioned incidents and complications we recommend this technique on some patients with the indications suggested bv Stoppa.