A tailored approach for the treatment of indirect inguinal hernia in adults--an old problem revisited.
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2011
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info:eu-repo/semantics/altIdentifier/doi/10.1007/s00423-010-0635-0
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info:eu-repo/semantics/altIdentifier/pmid/20596873
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info:eu-repo/semantics/altIdentifier/pissn/1435-2451[electronic], 1435-2443[linking]
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info:eu-repo/semantics/altIdentifier/urn/urn:nbn:ch:serval-BIB_996335C8024E9
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Rupture (Hernia) Hernias Herniation Intestines--Hernia Intestinal hernia Enterocele Abdominal hernia Abdomen--HerniaCiter ce document
M. Hübner et al., « A tailored approach for the treatment of indirect inguinal hernia in adults--an old problem revisited. », Serveur académique Lausannois, ID : 10.1007/s00423-010-0635-0
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A patent processus vaginalis peritonei (PPV) presents typically as an indirect hernia with an intact inguinal canal floor during childhood. Little is known however about PPV in adults and its best treatment. A cohort study included all consecutive patients admitted for ambulatory open hernia repair. In patients with a PPV, demographics, hernia characteristics, and outcome were prospectively assessed. Annulorrhaphy was the treatment of choice in patients with an internal inguinal ring diameter of < 30 mm. Between 1998 and 2006, 92 PPVs (two bilateral) were diagnosed in 676 open hernia repairs (incidence of 14%). Eighty nine of the 90 patients were males, the median age was 34 years (range: 17-85). A PPV was right-sided in 67% and partially obliterated in 66%. Forty-one patients had an annulorrhaphy and 51 patients had a tension-free mesh repair. The median operation time was significantly shorter in the annulorrhaphy group (38 vs. 48 min, P