Inguinal Herniorrhaphy in Poor Risk Patients without Cardiac or Thromboembolic Complication

Bellis, Carroll J.
April 1978
Angiology;Apr1978, Vol. 29 Issue 4, p337
Academic Journal
Inguinal herniorrhaphy, frequently extensive, was done in 20,041 patients, including 4,340 persons between the ages of 65 and 69 years, using local anesthesia without a single instance of infection, thrombophlebitis, phlebothrombosis, pneumonia, pulmonary embolism, atelectasis, or cardiac complication. Many patients were seriously ill with advanced cardiac disease, emphysema, cancer, morbid obesity, and severe hypertension, and would have presented pyramiding risks under general or spinal anesthesia. Admitted to the hospital the evening before operation and without a preliminary enema, the patient is fully ambulant immediately after operation, and does not miss a meal on the day of surgery. He is discharged on the day of operation walking without assistance and fully dressed, having been in the hospital less than twenty-four hours, and immediately can carry out unrestricted effort. Central to the uncompromised successes and to ensure benign results without recurrence is atraumatic surgical technique using non-coaptive techniques with polyvinyl ester mesh, which was used 10,948 times, and attention to intimate surgical details. Immediate vigorous post-surgical activity increases tensile strength of the incision, prevents complications, and obviates need of physical attention and analgesics. The surgical and post-operative procedure described is responsible for post-operative comfort and complete safety of the patient during and after operation. Not one misfortune due to the operation or regimen has been encountered.


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