| Autor: |
Auib Al Taha, Jassim Mohammed |
| Předmět: |
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| Zdroj: |
Medico-Legal Update; Jan-Mar2020, Vol. 20 Issue 1, p1253-1258, 6p |
| Abstrakt: |
Background : incisional hernia is any abdominal wall gap with or without a bulge in the area of a postoperative scar. There are different methods for treating incisional hernia . Mesh is always used to decrease the recurrence rate to less than 10%. Different types and different methods of mesh hernioplasty. Objective : to compare the outcome of open intraperitoneal mesh versus on-lay mesh hernioplasty. Method : this prospective study conducted in Al- Fayhaa Teaching hospital between February 2016 and February 2018. The patients with incisional hernia are divided into two groups. Group A treated by open intraperitoneal optimized composite mesh, and group B managed by on-lay mesh .the patients followed for 24 months following surgery to compare between the two groups regarding, operative time, hospital stay and post operative complications. Result : eighty patients included in the study . In group A, the mean operative time was ( 90 ±10.24 minutes) while for group B was ( 70 ± 17.53 minutes ). The average hospital stay was ( 3.34 ± 1.27 days) and ( 5 ± 3.73 days) for group A and group B respectively .seroma developed in 12.5% for intraperitoneal group and 27% for on-lay group. Surgical site infection was 2.5% in group A and 15 % in group B. No patient developed recurrence of hernia in group A, while 7.5 % of group B developed recurrence during the period of follow up. Conclusion: open intraperitoneal mesh hernioplasty is much better than on-lay method regarding the operative time, hospital stay and post operative complications. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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