{"id":34,"date":"2018-02-28T15:43:47","date_gmt":"2018-02-28T15:43:47","guid":{"rendered":"http:\/\/www.barnaclinic.com\/blog\/patologia-pared-abdominal\/ca\/?p=34"},"modified":"2022-02-02T14:10:34","modified_gmt":"2022-02-02T14:10:34","slug":"tractament-hernia-inguinal-malla-quirurgica","status":"publish","type":"post","link":"https:\/\/www.barnaclinic.com\/blog\/patologia-pared-abdominal\/ca\/tractament-hernia-inguinal-malla-quirurgica\/","title":{"rendered":"H\u00e8rnia inguinal: tractament (la malla quir\u00fargica), dolor postoperatori i recidiva"},"content":{"rendered":"<p>Despr\u00e9s del diagn\u00f2stic d&#8217;una <strong>h\u00e8rnia inguinal simptom\u00e0tica<\/strong> el tractament adequat passa per la correcci\u00f3 quir\u00fargica. En aquest sentit, fa anys que s&#8217;ha demostrat que l<strong>a col\u00b7locaci\u00f3 d&#8217;una malla quir\u00fargica \u00e9s la millor opci\u00f3<\/strong>. <strong>Amb la malla s&#8217;obtenen resultats molt superiors a la sutura simple del defecte herniari<\/strong>, a m\u00e9s d&#8217;una menor necessitat de reaparici\u00f3 per recidiva de la mateixa h\u00e8rnia.<br \/>\n<!--more--><\/p>\n<div id=\"estoy-interesado\" class=\"destacat-site\">\n<h4>ET POT INTERESSAR&#8230;<\/h4>\n<ul>\n<li>\n<h4><a href=\"http:\/\/www.barnaclinic.com\/blog\/patologia-pared-abdominal\/ca\/malles-per-a-cirurgia-la-paret-abdominal\/\" target=\"_blank\" rel=\"noopener noreferrer\">Tipus i caracter\u00edstiques de les malles per a cirurgia de la paret abdominal<\/a><\/h4>\n<\/li>\n<\/ul>\n<\/div>\n<h2><strong>Com es col\u00b7loca la malla per al tractament de l&#8217;h\u00e8rnia inguinal?<\/strong><\/h2>\n<p>Hi ha dues maneres de <strong>col\u00b7locar la malla quir\u00fargica per tapar el defecte herniari<\/strong>:<\/p>\n<ul>\n<li>\n<h5>Reparaci\u00f3 per via anterior<\/h5>\n<\/li>\n<\/ul>\n<p>La <strong>reparaci\u00f3 per via anterior<\/strong> \u00e9s la t\u00e8cnica m\u00e9s estesa. Consisteix en adherir la malla (amb punts, cola, autofijables) al forat herniari pel lloc per on emergeix l&#8217;<strong>h\u00e8rnia inguinal<\/strong>. Es tracta d&#8217;una cirurgia oberta en la qual, despr\u00e9s de practicar una incisi\u00f3, es col\u00b7loca la malla entre plans musculars de l&#8217;engonal.<\/p>\n<ul>\n<li>\n<h5>Reparaci\u00f3 per via posterior<\/h5>\n<\/li>\n<\/ul>\n<p>La <strong>reparaci\u00f3 per via posterior<\/strong> s&#8217;utilitza menys, per\u00f2 \u00e9s una t\u00e8cnica m\u00e9s fisiol\u00f2gica. En aquest cas, la malla es col\u00b7loca per sota dels m\u00fasculs, all\u00e0 on es genera l&#8217;<strong>h\u00e8rnia inguinal<\/strong>. El lloc on es col\u00b7loca la <strong>malla quir\u00fargica<\/strong> t\u00e9 una import\u00e0ncia crucial per evitar el dolor cr\u00f2nic postoperatori que segueix a la col\u00b7locaci\u00f3 d&#8217;un cos estrany (la malla). En la reparaci\u00f3 per via posterior, <strong>el dolor postoperatori \u00e9s molt menor<\/strong>. El motiu pel qual s&#8217;utilitza menys aquesta t\u00e8cnica \u00e9s la seva dificultat. En tractar-se d&#8217;una cirurgia m\u00e9s dif\u00edcil, <strong>cal que la realitzi un cirurgi\u00e0 expert en un centre amb les instal\u00b7lacions adequades<\/strong>. A part de la reducci\u00f3 del dolor postoperatori, la via posterior <strong>es pot realitzar per endosc\u00f2pia \/ laparosc\u00f2pia amb m\u00ednimes incisions<\/strong>, amb tots els avantatges que comporta.<\/p>\n<blockquote>\n<h4><strong><a href=\"https:\/\/www.barnaclinic.com\/es\/cuadro-medico\/232\/juan-jose-espert-ibanez?esp=74\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-17\" src=\"http:\/\/www.barnaclinic.com\/blog\/patologia-pared-abdominal\/wp-content\/uploads\/sites\/10\/2018\/01\/juan-jose-espert.jpg\" alt=\"\" width=\"100\" height=\"100\" \/><\/a><\/strong><\/h4>\n<h4>&#8220;El lloc on es col\u00b7loca la malla quir\u00fargica t\u00e9 una import\u00e0ncia crucial per evitar el dolor cr\u00f2nic postoperatori. En la reparaci\u00f3 per via posterior, el dolor postoperatori \u00e9s molt menor&#8221;<\/h4>\n<p><a href=\"https:\/\/www.barnaclinic.com\/es\/cuadro-medico\/232\/juan-jose-espert-ibanez?esp=74\" target=\"_blank\" rel=\"noopener noreferrer\">Dr. Juan Jos\u00e9 Espert<\/a><\/p><\/blockquote>\n<h4><strong>Reparaci\u00f3 de l&#8217;h\u00e8rnia inguinal: Via anterior VS Via posterior<\/strong><\/h4>\n<p>Qualsevol de les dues opcions \u00e9s v\u00e0lida pels casos d&#8217;<strong>h\u00e8rnia inguinal prim\u00e0ria<\/strong>. Per\u00f2, si un pacient s&#8217;ha operat ja per via anterior i presenta de nou una <strong>h\u00e8rnia inguinal<\/strong> (recidiva), el m\u00e9s aconsellable ser\u00e0 l&#8217;abordatge per una via diferent (posterior) i, preferiblement per endosc\u00f2pia \/ laparosc\u00f2pia. Passa el mateix en pacients que presenten una <strong>h\u00e8rnia inguinal bilateral<\/strong> (en els dos costats). La t\u00e8cnica endosc\u00f2pica soluciona el problema utilitzant els tres mateixos orificis per a tots dos costats, sense la necessitat de fer dues incisions doloroses.<\/p>\n<hr \/>\n<h2>Dolor postoperatori cr\u00f2nic despr\u00e9s de cirurgia d&#8217;h\u00e8rnia inguinal<\/h2>\n<p><span class=\"notranslate\"><span class=\"s1\">El\u00a0<b>dolor postoperatori cr\u00f2nic despr\u00e9s d&#8217;una\u00a0cirurgia de l&#8217;h\u00e8rnia inguinal<\/b>\u00a0<b>(inguinodinia)<\/b>\u00a0\u00e9s una entitat complexa de la qual l&#8217;origen, en molts casos, \u00e9s dif\u00edcil de diagnosticar.<\/span><\/span>\u00a0<span class=\"notranslate\"><span class=\"s1\">No obstant aix\u00f2, s&#8217;ha de tenir molt en compte, ja que la seva freq\u00fc\u00e8ncia \u00e9s m\u00e9s gran que la d&#8217;una recidiva (que torni a apar\u00e8ixer l&#8217;h\u00e8rnia).<\/span><\/span><\/p>\n<h4>Causes del dolor postoperatori cr\u00f2nic<\/h4>\n<p class=\"p1\">Els factors que afavoreixen l&#8217;aparici\u00f3 del\u00a0<b>dolor postoperatori cr\u00f2nic despr\u00e9s d&#8217;una\u00a0cirurgia de l&#8217;h\u00e8rnia inguinal<\/b>\u00a0s\u00f3n dos: la\u00a0<b>col\u00b7locaci\u00f3 d&#8217;una malla sint\u00e8tica<\/b>\u00a0i l&#8217;efecte inflamatori que aix\u00f2 desencadena, i la possible lesi\u00f3 dels nervis sensitius que passen per aquesta regi\u00f3 anat\u00f2mica.<\/p>\n<blockquote>\n<h4><strong><a href=\"https:\/\/www.barnaclinic.com\/ca\/quadre-medic\/232\/juan-jose\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-17 size-full\" src=\"http:\/\/www.barnaclinic.com\/blog\/patologia-pared-abdominal\/wp-content\/uploads\/sites\/10\/2018\/01\/juan-jose-espert.jpg\" alt=\"\" width=\"100\" height=\"100\" \/><\/a><\/strong><\/h4>\n<h4 class=\"p1\">&#8220;Els factors que afavoreixen l&#8217;aparici\u00f3 del dolor postoperatori cr\u00f2nic despr\u00e9s d&#8217;una cirurgia de l&#8217;h\u00e8rnia inguinal s\u00f3n: la colacaci\u00f3n de la malla i \/ o la lesi\u00f3 dels nervis sensitius de la regi\u00f3&#8221;<\/h4>\n<p><a href=\"https:\/\/www.barnaclinic.com\/ca\/quadre-medic\/232\/juan-jose\" target=\"_blank\" rel=\"noopener noreferrer\">Dr. Juan Jos\u00e9 Espert<\/a><\/p><\/blockquote>\n<h4 class=\"p2\">Tipus de dolor postoperatori cr\u00f2nic despr\u00e9s de cirurgia de l&#8217;h\u00e8rnia inguinal<\/h4>\n<p class=\"p1\">El\u00a0<strong>dolor postoperatori cr\u00f2nic<\/strong>\u00a0despr\u00e9s\u00a0<a href=\"http:\/\/www.barnaclinic.com\/blog\/patologia-pared-abdominal\/ca\/tractament-hernia-inguinal-malla-quirurgica\/\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>cirurgia de l&#8217;h\u00e8rnia inguinal<\/strong><\/a>\u00a0o\u00a0<b>inguinodinia postherniorrafia,<\/b>\u00a0es pot dividir en dos tipus: el dolor nociceptiu i el dolor neurop\u00e0tic.<\/p>\n<ul>\n<li class=\"p3\">\n<h5><span class=\"s1\"><b>Dolor nociceptivu<\/b><\/span><\/h5>\n<\/li>\n<\/ul>\n<p class=\"p1\"><span class=\"notranslate\"><span class=\"s1\">El\u00a0<b>dolor nociceptiu<\/b>\u00a0es deu a la pr\u00f2pia dissecci\u00f3 quir\u00fargica ia la inflamaci\u00f3 que aix\u00f2 provoca.<\/span><\/span>\u00a0<span class=\"notranslate\"><span class=\"s1\">A m\u00e9s la\u00a0<b>col\u00b7locaci\u00f3 d&#8217;una\u00a0<a href=\"http:\/\/www.barnaclinic.com\/blog\/patologia-pared-abdominal\/ca\/malles-per-a-cirurgia-la-paret-abdominal\/\" target=\"_blank\" rel=\"noopener noreferrer\">malla<\/a><\/b>\u00a0(cos estrany) provoca un augment del proc\u00e9s inflamatori a la zona operada.<\/span><\/span><\/p>\n<ul>\n<li class=\"p3\">\n<h5><span class=\"s1\"><b>Dolor neurop\u00e0tic<\/b><\/span><\/h5>\n<\/li>\n<\/ul>\n<p class=\"p1\"><span class=\"notranslate\"><span class=\"s1\">El\u00a0<b>dolor neurop\u00e0tic<\/b>\u00a0es deu a la lesi\u00f3 directa de nervis sensitius.<\/span><\/span>\u00a0<span class=\"notranslate\"><span class=\"s1\">Aix\u00f2 pot passar per una secci\u00f3 del nervi, pel atrapament del nervi per la malla, i per una lesi\u00f3 al cosir la malla en atrapar un dels nervis.<\/span><\/span><\/p>\n<h4 class=\"p1\">Com prevenir el dolor postoperatori cr\u00f2nic?<\/h4>\n<ul>\n<li class=\"p3\">\n<h5><span class=\"s1\"><b>Prevenir el dolor nociceptiu<\/b><\/span><\/h5>\n<\/li>\n<\/ul>\n<p class=\"p1\">La\u00a0<b>prevenci\u00f3 del<\/b>\u00a0<b>dolor nociceptiu<\/b>\u00a0passa per realitzar la menor dissecci\u00f3 (agressi\u00f3 quir\u00fargica) possible, utilitzar\u00a0<a href=\"http:\/\/www.barnaclinic.com\/blog\/patologia-pared-abdominal\/ca\/malles-per-a-cirurgia-la-paret-abdominal\/\" target=\"_blank\" rel=\"noopener noreferrer\"><b>malles cada vegada m\u00e9s &#8220;lleugeres&#8221;<\/b><\/a>\u00a0(menys material sint\u00e8tic), i infiltrar amb anest\u00e8sic local la ferida en acabar la intervenci\u00f3.<\/p>\n<ul>\n<li class=\"p3\">\n<h5><span class=\"s1\"><b>Prevenir el dolor neurop\u00e0tic<\/b><\/span><\/h5>\n<\/li>\n<\/ul>\n<p class=\"p1\"><span class=\"notranslate\"><span class=\"s1\">Per\u00a0<b>prevenir el dolor neurop\u00e0tic<\/b>\u00a0\u00e9s necessari protegir els nervis, no seccionar, i evitar la fixaci\u00f3 de\u00a0<a href=\"http:\/\/www.barnaclinic.com\/blog\/patologia-pared-abdominal\/ca\/tractament-hernia-inguinal-malla-quirurgica\/\" target=\"_blank\" rel=\"noopener noreferrer\">la\u00a0<b>malla quir\u00fargica<\/b><\/a>\u00a0amb punts o altres mecanismes, utilitzant coles sint\u00e8tiques o\u00a0<b>malles autofixables<\/b>.<\/span><\/span><\/p>\n<h4 class=\"p1\">Tractament del dolor postoperatori cr\u00f2nic despr\u00e9s de la cirurgia de l&#8217;h\u00e8rnia inguinal<\/h4>\n<p><span class=\"notranslate\"><span class=\"s1\"><strong>El dolor postoperatori es cronifica en entre el 6 i el 8% dels pacients.<\/strong><\/span><\/span>\u00a0<span class=\"notranslate\"><span class=\"s1\">Un cop s&#8217;arriba a aquest punt, hi ha un protocol de tractament que va del control del dolor, a la intervenci\u00f3 per corregir les causes.<\/span><\/span>\u00a0<span class=\"notranslate\"><span class=\"s1\">Aquest tractament, comen\u00e7a amb analg\u00e8sics orals per controlar la intensitat del dolor, continua amb infiltracions, tractament amb ones i, en casos extrems, es pot arribar a necessitar la realitzaci\u00f3 d&#8217;una cirurgia sobre els nervis implicats o per retirar de la malla quir\u00fargica.<\/span><\/span><\/p>\n<hr \/>\n<h2 class=\"destacat-site\">La recidiva de l&#8217;h\u00e8rnia inguinal: Qu\u00e8 \u00e9s i com prevenir-la<\/h2>\n<p><span class=\"notranslate\">El concepte de\u00a0<strong>recidiva de l&#8217;h\u00e8rnia inguinal<\/strong>\u00a0fa refer\u00e8ncia a la possibilitat que aquesta h\u00e8rnia torni a apar\u00e8ixer i que sigui necess\u00e0ria una nova cirurgia.<\/span><\/p>\n<p><span class=\"notranslate\">Les\u00a0<strong>malles quir\u00fargiques<\/strong>\u00a0es van comen\u00e7ar a utilitzar perqu\u00e8 el percentatge de\u00a0<strong>recidiva de l&#8217;h\u00e8rnia inguinal,\u00a0<\/strong>quan es feia un tancament simple amb sutures, era molt alt, al voltant d&#8217;un 15%.<\/span>\u00a0<span class=\"notranslate\">Amb l&#8217;\u00fas de malles el percentatge ha disminu\u00eft 5 vegades, i es considera que, en grups amb experi\u00e8ncia, \u00e9s d&#8217;un 2-3%.<\/span><\/p>\n<blockquote>\n<h4><strong><a href=\"https:\/\/www.barnaclinic.com\/ca\/quadre-medic\/232\/juan-jose\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-17 size-full\" src=\"http:\/\/www.barnaclinic.com\/blog\/patologia-pared-abdominal\/wp-content\/uploads\/sites\/10\/2018\/01\/juan-jose-espert.jpg\" alt=\"Dr. Juan Jos\u00e9 Espert\" width=\"100\" height=\"100\" \/><\/a><\/strong><\/h4>\n<h4>&#8220;El percentatge de recidiva de l&#8217;h\u00e8rnia inguinal, quan es feia amb tancament simple, era al voltant del 15%.\u00a0<span class=\"notranslate\">Amb malles quir\u00fargiques, en grups amb experi\u00e8ncia, ha disminu\u00eft al 2-3%&#8221;<\/span><\/h4>\n<p><a href=\"https:\/\/www.barnaclinic.com\/ca\/quadre-medic\/232\/juan-jose\" target=\"_blank\" rel=\"noopener noreferrer\">Dr. Juan Jos\u00e9 Espert<\/a><\/p><\/blockquote>\n<h4>La t\u00e8cnica quir\u00fargica, la clau per evitar recidives d&#8217;h\u00e8rnia inguinal<\/h4>\n<p><span class=\"notranslate\">En els \u00faltims anys, amb la utilitzaci\u00f3 de la\u00a0<strong>t\u00e8cnica laparosc\u00f2pica,<\/strong>\u00a0aquest percentatge, malgrat un augment en les primeres s\u00e8ries publicades, tamb\u00e9 s&#8217;ha estabilitzat en un 3-4%.<\/span>\u00a0<span class=\"notranslate\">Aix\u00ed doncs, podem deduir que el factor m\u00e9s important per evitar la\u00a0<strong>recidiva de l&#8217;h\u00e8rnia inguinal<\/strong>\u00a0\u00e9s la realitzaci\u00f3 d&#8217;una adequada t\u00e8cnica quir\u00fargica.\u00a0<\/span><span class=\"notranslate\">La realitzaci\u00f3 de la primera cirurgia per al\u00a0<a href=\"http:\/\/www.barnaclinic.com\/blog\/patologia-pared-abdominal\/ca\/tractament-hernia-inguinal-malla-quirurgica\/\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>tractament de l&#8217;h\u00e8rnia inguinal<\/strong><\/a>\u00a0en un centre amb experi\u00e8ncia, amb la tecnologia adequada i professionals especialistes, ser\u00e0 sin\u00f2nim de\u00a0<strong>menys\u00a0<a href=\"http:\/\/www.barnaclinic.com\/blog\/patologia-pared-abdominal\/ca\/dolor-postoperatori-cronic-hernia-inguinal\/\" target=\"_blank\" rel=\"noopener noreferrer\">risc de recidiva de l&#8217;h\u00e8rnia inguinal<\/a><\/strong>.<\/span><\/p>\n<blockquote>\n<h4><strong><a href=\"https:\/\/www.barnaclinic.com\/ca\/quadre-medic\/232\/juan-jose\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-17 size-full\" src=\"http:\/\/www.barnaclinic.com\/blog\/patologia-pared-abdominal\/wp-content\/uploads\/sites\/10\/2018\/01\/juan-jose-espert.jpg\" alt=\"Dr. Juan Jos\u00e9 Espert\" width=\"100\" height=\"100\" \/><\/a><\/strong><\/h4>\n<h4><span class=\"notranslate\">&#8220;Amb la utilitzaci\u00f3 de t\u00e8cniques laparosc\u00f2piques, el percentatge de recidives s&#8217;ha estabilitzat en un 3-4%.<\/span>\u00a0<span class=\"notranslate\">El factor m\u00e9s important per evitar-les \u00e9s la t\u00e8cnica quir\u00fargica&#8221;<\/span><\/h4>\n<p><a href=\"https:\/\/www.barnaclinic.com\/ca\/quadre-medic\/232\/juan-jose\" target=\"_blank\" rel=\"noopener noreferrer\">Dr. Juan Jos\u00e9 Espert<\/a><\/p><\/blockquote>\n<p><span class=\"notranslate\">No obstant aix\u00f2, tamb\u00e9 hi ha factors dependents del pacient.<\/span>\u00a0<span class=\"notranslate\">Aix\u00ed doncs, despr\u00e9s de la primera cirurgia, ser\u00e0 fonamental que el pacient segueixi un adequat\u00a0<strong>rep\u00f2s postoperatori<\/strong>\u00a0i que controli factors com l&#8217;<a href=\"https:\/\/portal.hospitalclinic.org\/ca\/malalties\/obesitat\" target=\"_blank\" rel=\"noopener noreferrer\">obesitat<\/a>, el\u00a0<a href=\"https:\/\/www.barnaclinic.com\/ca\/tabaquisme\/\" target=\"_blank\" rel=\"noopener noreferrer\">consum de tabac<\/a>\u00a0i \/ o que eviti certs sobreesfor\u00e7os.<\/span>\u00a0<span class=\"notranslate\">Tot aix\u00f2 ser\u00e0 molt important per\u00a0<strong>prevenir\u00a0l&#8217;aparici\u00f3<\/strong>\u00a0<strong>de recidives de l&#8217;h\u00e8rnia inguinal.<\/strong><\/span><\/p>\n<blockquote>\n<h4><strong><a href=\"https:\/\/www.barnaclinic.com\/ca\/quadre-medic\/232\/juan-jose\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-17 size-full\" src=\"http:\/\/www.barnaclinic.com\/blog\/patologia-pared-abdominal\/wp-content\/uploads\/sites\/10\/2018\/01\/juan-jose-espert.jpg\" alt=\"Dr. Juan Jos\u00e9 Espert\" width=\"100\" height=\"100\" \/><\/a><\/strong><\/h4>\n<h4>&#8220;Un adequat\u00a0<strong>rep\u00f2s postoperatori<\/strong>\u00a0i controlar factors com l&#8217;obesitat, el consum de tabac i \/ o evitar certs sobreesfor\u00e7os, seran fonamentals per prevenir l&#8217;aparici\u00f3 de recidives de l&#8217;h\u00e8rnia inguinal&#8221;<\/h4>\n<p><a href=\"https:\/\/www.barnaclinic.com\/ca\/quadre-medic\/232\/juan-jose\" target=\"_blank\" rel=\"noopener noreferrer\">Dr. Juan Jos\u00e9 Espert<\/a><\/p><\/blockquote>\n<h4>Tractament de la recidiva de l&#8217;h\u00e8rnia inguinal<\/h4>\n<p><span class=\"notranslate\">El\u00a0<strong>tractament d&#8217;una recidiva<\/strong>\u00a0s&#8217;ha de realitzar, idealment, amb una t\u00e8cnica diferent a la utilitzada en la primera cirurgia.<\/span>\u00a0<span class=\"notranslate\">D&#8217;aqu\u00ed es deriva la import\u00e0ncia de comptar amb un cirurgi\u00e0 especialitzat, que conegui diverses t\u00e8cniques quir\u00fargiques (cirurgia oberta i laparosc\u00f2pica) per obtenir els millors resultats.<\/span><\/p>\n<hr \/>\n<div id=\"estoy-interesado\" class=\"destacat-site\">\n<h1 style=\"padding-left: 15px; padding-right: 15px;\" align=\"center\"><span style=\"color: white;\">VOLS\u00a0CONTACTAR\u00a0AMB EL DR. JUAN JOS\u00c9 ESPERT?<\/span><\/h1>\n<p style=\"padding-left: 30px; padding-right: 20px;\" align=\"center\"><a class=\"button\" href=\"https:\/\/www.barnaclinic.com\/ca\/solicitar-cita\/?profesional=232\" target=\"_blank\" rel=\"noopener noreferrer\">DEMANAR CITA<\/a>\u00a0| <a class=\"button\" style=\"padding-left: 30px; padding-right: 20px;\" href=\"https:\/\/www.barnaclinic.com\/ca\/solicitar-televisita\/?profesional=232\" target=\"_blank;\">SOL\u00b7LICITAR TELEVISITA<\/a><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Despr\u00e9s del diagn\u00f2stic d&#8217;una h\u00e8rnia inguinal simptom\u00e0tica el tractament adequat passa per la correcci\u00f3 quir\u00fargica. En aquest sentit, fa anys que s&#8217;ha demostrat que la col\u00b7locaci\u00f3 d&#8217;una malla quir\u00fargica \u00e9s la millor opci\u00f3. Amb la malla s&#8217;obtenen resultats molt superiors a la sutura simple del defecte herniari, a m\u00e9s d&#8217;una menor necessitat de reaparici\u00f3 per [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":140,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[59,60],"tags":[28,55,88,23,12,11,89,13,10,54,87,90],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.14 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Opcions de tractament per l&#039;h\u00e8rnia inguinal: La malla quir\u00fargica<\/title>\n<meta name=\"description\" content=\"Davant d&#039;una h\u00e8rnia inguinal, el tractament adequat \u00e9s la cirurgia. 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