Hernioplastia con Malla: Comparación de Resultados en Cirugía Electiva vs Urgencia

Are the outcomes of emergency Lichtenstein hernioplasty similar to the outcomes of elective Lichtenstein hernioplasty?
Marcelo A. Beltrán and Karina S. Cruces. Department of Surgery, Emergency Unit, Hospital de Ovalle, Chile.
International Journal of Surgery 2007; 5 (3): 198-204

Background
The safe use of polypropylene prosthesis for the repair of complicated inguinal hernias has been established even when small bowel resection was required. Few reports have completely addressed this subject; none have compared the outcomes of emergency and elective Lichtenstein hernioplasty.

Methods
From January 2001 to December 2003, 343 patients were electively operated for inguinal hernia and 62 for complicated inguinal hernia. A follow-up period of 17–57 months using the Quantitative and Qualitative Measurement Instrument for evaluation of Lichtenstein hernioplasty outcomes (QQMI) was completed for 48 emergency patients and 326 elective patients.

Results
The mean QQMI score showed that most patients felt that the outcomes of their surgery were very good or excellent. Mean QQMI score for elective surgery was 10.1 and 9.5 for emergency surgery.

Conclusions
The outcomes of emergency Lichtenstein hernioplasty were inferior to the outcomes of elective Lichtenstein hernioplasty.