Analysis of Open Tension Free (Mesh plug and patch) Inguinal Hernia Repair

Hassan Salman, Amer

	Analysis of Open Tension Free (Mesh plug and patch) Inguinal Hernia Repair
IRAQI JOURNALOF COMMUNITY MEDICINE
Article 1, Volume 24, Issue 2, 2011, Pages 138-146
Author
Amer Hassan Salman
Abstract
Background: Inguinal hernia repair is the most frequent operation in general surgery. Until recently the standard has been open musculo-aponeurotic repair using sutures under tension to close the defect, but tension-free repair using prosthetic mesh is becoming increasingly common and considered the standard procedure. Many procedures have been used but still the most effective surgical technique is unknown. Objective: Assessment of open tension free (Mesh plug and patch) inguinal hernia repair regarding early return to normal activity, postoperative pain, complications and recurrence rate. Methods: A prospective study of (73) patients with inguinal hernia operated upon, in Al- Yarmouk Teaching Hospital (from Oct. 2005 to Oct. 2009) using the technique of open tension-free inguinal hernia repair (plug and mesh). The data was collected in the proforma designed for the study. The operative time, severity of post operative pain and analgesia, hospital stay, early mobilization, early and late complications and early return to activity, were all assessed. Results: The operative time was (36 minutes), there is mild postoperative pain that relieved by short term analgesia, and the time for return to activity was after (3-7days) and this was in 59 (95%) patients, and the time interval before carrying out the most strenuous activity was 14 days and it was in 42 (91.3%) patients out of 46 employed patients. There was mild scrotal swelling, Hematoma in 4(6.5%) patients, mild Seroma in one (1.6%) patient, surgical site infection (SSI) in 3(4.8%) patients, no one required surgical interference, one patient (1.6%) had groin hyperesthesia and one patient developed mild swelling relieved after 30 days. There is no recurrence and no chronic disabling pain. Conclusion: Using open mesh plug and patch inguinal hernia repair showed reduced post operative pain, early rehabilitation, early discharge (6 -24 hours) and early return to activity ( after one week) and no recurrence In comparison to other studies using the other open technique, this method looks to be superior to conventional tension repair of inguinal hernia in term of rehabilitation, early return to activity and recurrence. Key words: Inguinal hernia, open mesh plug and patch, repair
Keywords
Inguinal hernia; open mesh plug and patch; Repair

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