A Case Report of a Successful Bilateral Lichtenstein Repair Using Elastic Tacks

TL;DR

A 55-year-old man with bilateral inguinal hernias successfully underwent a single surgical procedure using the Lichtenstein repair with elastic tacks.

Contribution

The use of elastic absorbable tacks in a bilateral Lichtenstein repair is presented as a successful modification.

Findings

Bilateral hernioplasty was performed successfully in one operation using the Lichtenstein technique.

The patient experienced no postoperative complications or recurrence.

Follow-up over five years showed positive outcomes with no complications.

Abstract

This manuscript is dedicated to the examination of a case involving a 55-year-old male patient who has experienced bilateral inguinal hernias for a duration of three years. The patient was subsequently referred to our department from the outpatient clinic for the purpose of determining an appropriate surgical intervention. The patient presented with comorbidities including primary arterial hypertension, duodenal ulcer, chronic prostatitis, gastroesophageal reflux disease (GERD), chronic esophagitis, and occurrences of supraventricular tachycardia. Our research team elected to implement the Lichtenstein tension-free repair modification for both sides within a single surgical operation. Bilateral inguinal hernioplasty was performed successfully on both sides at the same surgical procedure, employing the Lichtenstein technique, which contributed to reducing the operative duration and postoperative complications regarding mesh implants secured with elastic absorbable tacks. The patient experienced no postoperative complications, such as neuralgia, seroma, foreign body sensation, or recurrence. The next five years were scheduled for follow-up every six months. The adoption of this technique yielded outcomes that met expectations.

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