Comparing non-mesh and sutured inguinal hernia repairs in groin surgery: A randomized clinical trial

نویسندگان

  • Ali Karbalaeikhani Department of Surgery, Emam Reza Hospital, AJA University of Medical Sciences, Tehran, Iran.
  • Azita Shishegar Department of Surgery, Emam Reza Hospital, AJA University of Medical Sciences, Tehran, Iran.
  • Narges Vasei Department of Surgery, Besat Hospital, AJA University of Medical Sciences, Tehran, Iran.
  • Salman Dehkhoda Department of Surgery, Emam Reza Hospital, AJA University of Medical Sciences, Tehran, Iran.
  • Susan Alimohammadzadeh-Taher Department of Orthopedics, Emam Reza Hospital, AJA University of Medical Sciences, Tehran, Iran.
چکیده مقاله:

  Purpose: Mesh technique is the standard for inguinal hernia repair because of less recurrence,   but it is inferior or equal to sutured technique in case of other post-operative complications   such as chronic pain. This clinical trial set out to compare these two techniques.   Materials and Methods: A total number of 322 cases of unilateral inguinal hernia in participants   older than 18 years old were divided into 158 cases for mesh (Lichtenstein) and 164 for nonmesh   (Bassini-McVay) hernia repair techniques. In order to compare the complications in the   two groups, they were followed up from one to five years.   Results: During the study period, 12 and 7 participants were excluded from the mesh and   non-mesh suture groups, leaving 146 and 157 participants in each group, respectively. The   mean ages were 50.9 and 46.6 years old in mesh and sutured groups, respectively and mean   follow up time was 2.9 years. Compared to mesh group, all complications were equal or less in   non-mesh group, except for recurrence which had a statistically significant difference. Chronic   post-operative pain, foreign body sensation, returning time to daily activities and costs were   significantly less in non-meshed group (P = .0083).   Conclusion: Non-mesh suture technique still has its place in hernia repair. Mesh can be preserved   for special conditions such as weak fascia wall, contralateral unsuccessful surgery, and recurrence,   if suture technique is expensive or not easily available.  

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comparing non-mesh and sutured inguinal hernia repairs in groin surgery: a randomized clinical trial

purpose: mesh technique is the standard for inguinal hernia repair because of less recurrence,   but it is inferior or equal to sutured technique in case of other post-operative complications   such as chronic pain. this clinical trial set out to compare these two techniques.   materials and methods: a total number of 322 cases of unilateral inguinal hernia in participants   older than 18 years...

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عنوان ژورنال

دوره 13  شماره None

صفحات  37- 40

تاریخ انتشار 2015-03

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