Tailored Repair in Inguinal Hernia Surgery Using the Head-Score

• Authors: Christian Peiper , Svenja Schinkel , Dortje Brinkmann , Karsten Junge , Uwe Klinge , Volker Schumpelick
• Languages of publication: EN

Abstracts

EN

The aim of the study. To support a tailored inguinal hernia repair, we developed a score system based on anamnestic risk factors for recurrence.Material and methods. We used the HEAD-Score in a county hospital and suggested mesh repair in scores of 15 or greater. Patients were followed in a prospective study for 2 weeks and 12 months.Results. We used mesh repair in 61.5% of the 281 inguinal hernia repairs. In mesh repair, we observed significantly more seroma formation (48.5% vs 20.4%). We found only two recurrences after Lichtenstein repair. In the Shouldice group, two patients underwent re-operation due to an ilioinguinal entrapment syndrome.Conclusions. Tailored inguinal hernia repair with the help of the HEAD-Score is possible and leads to acceptable complication rates and a low recurrence rate (0.9%) after one year. The risk of mesh-depended complications can be reduced with this approach.

Keywords

EN

HEAD-Score; inguinal hernia; tailored therapy; recurrence rate; chronic inguinal pain

• Publisher: Index Copernicus International
• Journal: Polish Journal of Surgery
• Year: 2007
• Volume: 79
• Issue: 2
• Pages: 63-69

Dates

published

1 - 2 - 2007

online

24 - 9 - 2007

Contributors

author

Christian Peiper

• Hernia Repair Center Ruhr, Surgical Clinic, Evangelic Hospital, Witten, Germany

author

Svenja Schinkel

• Hernia Repair Center Ruhr, Surgical Clinic, Evangelic Hospital, Witten, Germany

author

Dortje Brinkmann

• Hernia Repair Center Ruhr, Surgical Clinic, Evangelic Hospital, Witten, Germany

author

Karsten Junge

• Surgical University Clinic RWTH, Aachen, Germany

author

Uwe Klinge

• Surgical University Clinic RWTH, Aachen, Germany

author

Volker Schumpelick

• Surgical University Clinic RWTH, Aachen, Germany

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Identifiers

DOI

10.2478/v10035-007-0011-0