Comparing non-mesh and sutured inguinal hernia repairs in groin surgery: A randomized clinical trial
نویسندگان
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.
منابع مشابه
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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BACKGROUND The optimum method for inguinal hernia repair has not yet been determined. The recurrence rate for non-mesh methods varies between 0.2 and 33 per cent. The value of tension-free repair with prosthetic mesh remains to be confirmed. The aim of this study was to compare mesh and non-mesh suture repair of primary inguinal hernias with respect to clinical outcome, quality of life and cost...
متن کاملRandomized clinical trial comparing inguinal hernia repair with Lichtenstein technique using non-absorbable or partially absorbable mesh. Preliminary report
INTRODUCTION The Lichtenstein technique is currently considered the "gold standard" of open, anterior inguinal hernia repair. It is not free, however, of adverse effects, which may be caused by the implemented synthetic material. AIM Determination the influence of the mesh employed on treatment results including immediate complications, return to everyday activities, chronic pain occurrence a...
متن کاملRandomized clinical trial of mesh versus non-mesh primary inguinal hernia repair: long-term chronic pain at 10 years.
BACKGROUND Open mesh or non-mesh inguinal hernia repair may influence the incidence of chronic postoperative pain differently. METHODS A total of 300 patients scheduled for repair of a primary unilateral inguinal hernia were randomized to non-mesh or mesh repair. The primary outcome measure was clinical outcome including persistent pain and discomfort interfering with daily activity. Long-ter...
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عنوان ژورنال
دوره 13 شماره None
صفحات 37- 40
تاریخ انتشار 2015-03
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