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How Liechtensten Hernia Repair Changes the Intra-Abdominal Pressure

K. Georgiev, A. Petkov, M. Georgieva

Abstract


The Liechtenstein repair is tension-free plastics. The procedure is fast, technically simple to perform, cost-effective, efficient, with a small percentage of operative and postoperative complications and is suitable for all surgeons working in medical centers for day surgery.The aim of this study was to determine whether intra-abdominal and anal pressure change in patients who have undergone Lichtenstein hernia repair. A controlled clinical trial consisting of 103 patients was conducted for the period March, 2009 - March, 2014, at the Department of surgical diseases, Second Surgery, Department of Day and Minimally Invasive Surgery at the University Hospital „St. George` in Plovdiv. The gender distribution was as follows: 92% men (95), 7.8% women (8) with an avergage age of 38.38. They were divided into two groups: one group with 53 inguinal hernia patients and a second group with 50 patients without hernia, serving as a control group. The first group was observed before and after the surgery.Conclusions: 1. Lichtenstein hernia repair caused an increase in the anal and intra-abdominal pressure, but this increase did not reach pathological values. 2. The pressure is increased every time after a hernia repair. It can even be within physiological limits but it still had higher values in the surgical patients than in the control group. 3. When comparing the intra-abdominal and anal pressure before and after surgery for hernia in the control group, it was established that this group always had higher values for these indicators.

Keywords

Keywords: hernia repair Lichtenstein, intra-abdominal pressure, rectal pressure, lack of pathological values.




DOI: http://dx.doi.org/10.14748/ssm.v48i0.2276

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About The Authors

K. Georgiev

A. Petkov

M. Georgieva

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