[Initial results with transversalis-plasty in the treatment of inguinal hernia]

Abstract

Because of our recurrence rate of 7.2% after primary operation for inguinal hernia and 10% after operation for recurrent hernia using a modified Bassini procedure, we adopted a transversalis fascia repair under local anesthesia in November 1985. From November 1985 to December 1987 we performed 455 operations on 424 adults. During the introduction phase of this new technique there were especially initially 65 other procedures (modified Bassini or Cooper's ligament operation). 301 patients could be followed by letter 6 months after the operation. Only patients with pain or suspected recurrence were interviewed. We analyzed the group of patients who underwent a transversalis fascia repair (n = 390). 99% were satisfied with the local anesthesia. The average length of stay in the hospital after repair of a primary inguinal hernia could be shortened (2.8 days). The patients returned to work after an average rehabilitation of 3.1 weeks. We have had few early complications (0.7%). It is still impossible to say if this technique is sure in our hands because of the short and incomplete follow-up. Only the long-term results will show the real value of this operative procedure.