Modified Jean Rives Inguinal Hernioplasty

Abstract

Introduction: Hernia surgical interventions are one of the procedures most frequently performed by surgeons.

Objective: To characterize the patients who underwent the surgical technique of inguinal hernioplasty based on the modified Jean Rives technique.

Methods: A retrospective, descriptive and longitudinal study was carried out in Hospital Universitario Arnaldo Milián Castro, of Santa Clara City, central Cuba, in the period from January 2011 to December 2021. The study universe was represented by the population of patients diagnosed with inguinocrural hernias who underwent this surgical technique. The sample consisted of 194 patients.

Results: There was a predominance of the male sex, accounting for 103 (53.1%); as well as of patients over 60 years of age, accounting for 99 (51.0 %). The most frequent location of the hernia was the right inguinal area, represented by 146 cases (75.3%) for both sexes, accounting for 81 (41.8%) and 65 (33.5%) for males and females, respectively. Primary inguinal hernias predominated, represented by 96 cases (49.5%); as well as direct hernias, accounting for 70 cases (36.1 %). In the male sex, indirect hernias predominated, accounting for 61 cases (31.4%). Postoperative complications predominated in emergency surgery, represented by 10 cases (5.0%). Seroma (4; 2.0%), orchitis (3; 1.5%) and hernia recurrence (3; 1.5%) were the most common complications.

Conclusions: The modified Jean Rives inguinocrural hernioplasty technique is effective for male patients older than 60 years with primary, direct and indirect inguinal hernias. Potential postoperative complications occurred in emergency surgery, in which cases seroma and orchitis were the most frequent ones. Recurrence had a low rate compared to other types of hernioplasties.