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The preperitoneal approach with implantation of a dacron sheet was applied in 37 patients with recurrent hernias and in 30 patients with primary bilateral hernias. In total 120 hernias were repaired. The patients were controlled prospectively for serious complications. The patients were examined every 3 months in the first and every 6 months in the second year after operation. The mean follow-up time was 17.2 months. RESULTS In one patient with a combined hernia an indirect hernia sac was not detected intraoperatively, so it persisted. Recurrences were not observed. COMPLICATIONS (hematoma, fluid collections, wound infections, intraabdominal adhesions) occurred in 13.2 of the patients. CONCLUSIONS The preperitoneal implantation of a dacron sheet is a safe and reliable procedure for treatment of recurrent groin hernias and primary hernias with a high risk of recurrence. The rate of infection is low under preventing measures.
E Gross, and
O Köfüncü
December 2009,
Hernia : the journal of hernias and abdominal wall surgery,
E Gross, and
O Köfüncü
October 2003,
Acta chirurgica Belgica,
E Gross, and
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January 1983,
Chirurgie; memoires de l'Academie de chirurgie,
E Gross, and
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E Gross, and
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Nederlands tijdschrift voor geneeskunde,
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E Gross, and
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Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen,
E Gross, and
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March 2002,
The American surgeon,
E Gross, and
O Köfüncü
January 2018,
Case reports in surgery,
