Comparison between Mesh Fixation and Non‑Fixation in Patients Undergoing Total Extraperitoneal Inguinal Hernia Repair
| Autor: | I Kabak, H.K. Tolan, T Canbak, Aylin Acar |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Symphysis medicine.medical_treatment Operative Time Hernia Inguinal Mesh fixation Fixation (surgical) Recurrence medicine Postoperative results Humans Hernia In patient Extraperitoneal hernia inguinal mesh total extraperitoneal Herniorrhaphy Aged Aged 80 and over Pain Postoperative business.industry General Medicine Prostheses and Implants Middle Aged Surgical Mesh Hernia repair medicine.disease Surgery Inguinal hernia medicine.anatomical_structure Treatment Outcome Female Laparoscopy business |
| Zdroj: | Nigerian Journal of Clinical Practice; Vol. 23 No. 7 (2020); 897-899 |
| ISSN: | 1119-3077 |
| Popis: | Background: The most important advantages of laparoscopic hernia repair include less postoperative pain, good cosmetic results, and early return to daily activities. Different methods and mesh types are used in inguinal hernia repair. Aims: The objective of this study was to evaluate the complications and recurrence rates in patients who underwent laparoscopic inguinal hernia repair with and without mesh fixation. Subjects and Methods: A total of 183 patients who underwent total extraperitoneal (TEP) inguinal hernia repair in the general surgery clinic between January 2012 and January 2015 patients operated due to inguinoscrotal hernia and those lost to follow‑up were excluded from the study. Patients were divided into two groups. Group 1 consisted of patients in whom 3D (Bard 3D Max) mesh was used and fixed with symphysis pubis absorbable tucker, while group 2 included patients without mesh fixation. All statistical analyses were performed using SPSS 22.0 statistical package software. The differences were considered statistically significant if the P value was less than 0.05. Results: In the study, 178 patients were included. The median age was 48 years. Of all patients, 98 had right‑sided, 72 left‑sided, and eight bilateral hernias. The mean follow‑up duration was 45 months. The demographic data between the groups were similar. Operation time was 51.82 ± 18.87 min in group 1 and 52 ± 19.92 in group 2 (P = 0.089). No statistically significant difference was found between both groups in terms of the development of early and late complications. Intraoperative complications, port‑site hernia, and mortality were not seen in any patient. Conclusion: TEP seems to be a safe and effective surgical approach in inguinal hernia treatment with acceptable operation times and postoperative results. It was determined that not performing mesh fixation in the TEP application did not cause a statistical increase in morbidity and recurrence rates. Keywords: Extraperitoneal, hernia, inguinal, mesh, total extraperitoneal |
| Databáze: | OpenAIRE |
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