Abstract
Two hundred and forty four patients underwent either simultaneous bilateral inguinal hernia repair (n = 122) or unilateral inguinal hernia (n = 122) repair at a general hospital between January 1971 and December 1981. The two groups of patients were matched for age and sex. Both groups had a similar overall incidence of post-operative complications and in both groups the duration of post-operative stay and duration of operating time were similar. Chest infections developed in 12 patients after bilateral repair and in 3 patients after unilateral repair (P less than 0.02). All patients were assessed prospectively from 4 to 15 years after operation, when no significant difference in the number of recurrent hernias was found. Our results suggest that simultaneous bilateral inguinal herniorrhaphy is economical in terms of both operating time and duration of hospital stay, and that this economy is not bought at a cost of increased short term morbidity or long-term recurrence rate.
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- Activity and recurrent hernia. Br Med J. 1977 Jul 2;2(6078):3–4. [PMC free article] [PubMed] [Google Scholar]
- Devlin H. B., Russell I. T., Muller D., Sahay A. K., Tiwari P. N. Short-stay surgery for inguinal hernia. Clinical outcome of the Shouldice operation. Lancet. 1977 Apr 16;1(8016):847–849. doi: 10.1016/s0140-6736(77)92791-x. [DOI] [PubMed] [Google Scholar]
- Duvie S. O. One-stage bilateral inguinal herniorrhaphy in the adult. Can J Surg. 1984 Mar;27(2):192–193. [PubMed] [Google Scholar]
- Ger R., Omar A. M., Moza S. K. Bilateral adult inguinal hernia. One-stage or two-stage operation? J R Coll Surg Edinb. 1978 Sep;23(5):300–302. [PubMed] [Google Scholar]
- Glassow F. Inguinal hernia repair using local anaesthesia. Ann R Coll Surg Engl. 1984 Nov;66(6):382–387. [PMC free article] [PubMed] [Google Scholar]
- MARSDEN A. J. Inguinal hernia. A three-year review of two thousand cases. Br J Surg. 1962 Jan;49:384–394. doi: 10.1002/bjs.18004921607. [DOI] [PubMed] [Google Scholar]
- PALUMBO L. T., SHARPE W. S., HUNTER R. D., BERARDI R. S. PRIMARY INDIRECT INGUINAL HERNIOPLASTY: RESULTS IN 2595 OPERATIONS. Surg Clin North Am. 1963 Oct;43:1439–1446. doi: 10.1016/s0039-6109(16)37105-5. [DOI] [PubMed] [Google Scholar]
- Rowe M. I., Clatworthy H. W., Jr The other side of the pediatric inguinal hernia. Surg Clin North Am. 1971 Dec;51(6):1371–1376. doi: 10.1016/s0039-6109(16)39592-5. [DOI] [PubMed] [Google Scholar]
- SHUTTLEWORTH K. E., DAVIES W. H. Treatment of inguinal herniae. Lancet. 1960 Jan 16;1(7116):126–127. doi: 10.1016/s0140-6736(60)90051-9. [DOI] [PubMed] [Google Scholar]
- Soul J. O., Dewar E. P. Bilateral inguinal herniae--a reappraisal of dogma. J R Nav Med Serv. 1984 Winter;70(3):160–162. [PubMed] [Google Scholar]