Rutkow y Robbins' inguinal hernioplasty without recurrences

摘要

INTRODUCTION. The universalization of the use of bioprostheses and its pioneers Lichtenstein, Gilbert, Rutkow and Robbins are being able to overcome what has been the ghost of hernial surgery: recurrences. The techniques based on mesh plug have been evaluated for more than 20 years and are widely accepted by most of the surgeons. METHODS. 334 patients with inguinal hernia that had undergone Rutkow y Robbins' hernioplasty from January 2001 to December 2004 were studied. The following variables were analyzed in order to determine the effectiveness of this technique: sex, age, side and variety of hernia, time of hospitalization and anesthesia, prosthetic material used, postoperative complications and recurrences. RESULTS. The sample included mostly males with an average age of 56 years old. It was observed a predominance of type 2 and 3 hernias on the right side according to Gilbert's classification modified by Rutkow y Robbins. They were of primary etiology in 82,35 % of the cases. 79.41 % of the patients underwent ambulatory surgery, mostly with spinal anesthesia and the most used prosthetic material was polypropylene. The index of complications was 14.74 % and there have been no recurrences yet. CONCLUSIONS. The results obtained with Rutkow and Robbins' technique are encouraging, with low morbidity and without recurrences.