A Comparative Study Of Tension-Free Mesh And Sutured Repair In Inguinal and Para-Umbilical and Incisional Herniae

الموضوعات

طب

الملخص

Objectives: To compare the outcomes of tension-free mesh and sutured repairs in inguinal, paraumbilicaland incisional hernias.Patients and methods:This randomized controlled study of 1190 patients with primary inguinal (n=403),para-umbilical (n=372) and incisional (n=415) hernias, has been carried out at Ibn-Sina Central.Teaching.Hospital, and Al-Amal H., Hadhramout-Yemen., betweenSeptember 2004 and December 2007. The patients were allocated to either mesh orsutured repairs after matching of risk factors for recurrences. The primary outcomemeasure was hernia recurrence over a period of 3 years of follow-up.Results:There were statistically significant differences in the recurrence rates between meshand sutured repair groups of inguinal (1.5% versus 10.5%) para-umbilical (2.7%versus 12.9%), and incisional (4.3% versus 27.5%) hernias ( p <0.001). The pain scoreand the analgesic consumption seemed to be significantly greater in the sutured groups(p < 0.001). Return to normal activities was significantly shorter in the mesh groupsthan sutured repair group in inguinal (16.2±4. days versus 20.8±0.9 days) paraumbilical(20.9±5.6 days versus 23.6±10.5 days), and incisional hernias (23.8±6.8days versus 26.6±13.5 days). The patients who had mesh repairs were significantlymore satisfied with the procedure than those who had sutured repairs ( p<0.001). Themedian operating time, hospital stay and the complications were comparable in thetwo groups, except that chronic pain was more in the sutured groups than in the meshgroups of inguinal (12.4% versus 4%), para-umbilical (14%versus 5.4%), andincisional (13% versus 4.3%) hernia repairs. The differences were statisticallysignificant (p<0.001).Conclusion:Tension-free mesh techniques are safe, effective and easy to learn. They result inlower recurrences, lesser post-operative pain, less consumption of analgesia, andquicker rehabilitation. The study confirms superiority of tension-free repair oversutured repair.

روابط وملفات

التعريف والنوع

رقم الوثيقة

edbbd306-dd84-4f26-ba6c-bd2080e99525

رقم العقد

0

نوع الوسائط

Crawler

نوع المحتوى

الرسائل العلمية

صيغة المصدر

رسائل ماجيستير

نوع الملف

pdf text

أسماء الملفات

1638580_1.pdf

بيانات النشر

ألقاب المؤلفين

[{"name_ar":"صالح عوده بن طيار","title_ar":"اعداد","title_en":"Preparation"},{"name_ar":"هاشم عبدالرحمن محمد","title_ar":"اشراف","title_en":"Supervision"},{"name_ar":"يحيى الطايب العربي","title_ar":"اشراف","title_en":"Supervision"}]

اللغة

English

المصدر والدورية

اسم المصدر

A Comparative Study Of Tension-Free Mesh And Sutured Repair In Inguinal and Para-Umbilical and Incisional Herniae

المحتوى والصفحات

عدد الصفحات

0

إشراف وإعداد

الإشراف

هاشم عبدالرحمن محمد, يحيى الطايب العربي

الإعداد

صالح عوده بن طيار

الاقتباسات الببليوغرافية