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Analysis of Prosthetic Mesh Repair in Obstructed Inguinal Hernia

Abstract

 Aims and objectives: The basic aim of the study   is to analyse the prosthetic mesh repair in ob- structed inguinal hernia. Material and methods: This   cross sectional study was performed with 70 patients who had been admitted to our hospital’s emergency department between January 2019 to August 2019, to undergo surgery for a diagnosis of obstructed   inguinal hernia. Patients who died in the postoper- ative period due to systemic complications, as well   as those who were lost during the follow-up period,   were excluded from the study. The patients were di- vided into two groups based on the applied surgical   technique. Results: Mesh-based repair techniques were performed on the 35 patients comprising Group 1, while tissue repair techniques were performed on the 35 patients comprising Group 2. In this study, 81.5% of the patients were male, while 18.5% were   female. Female patients had a significantly higher ra- tio of femoral hernia than male patients, while male   patients had a significantly higher ratio of inguinal hernia than female patients. In Group 3 (table 1), 6.7% (1) of the patients had wound infections, while 6.7% hematomas, 6.7% had seromas, and none had relapses. In Group 4, 7.2% of the patients had wound   infections, while 1% had hematomas, 3% had sero- mas, and 1% had relapses. Conclusion: It is conclud- ed that the use of polypropylene mesh in incarcer- ated inguinal hernia repair has no negative effect on   wound infection or complications.   INTRODUCTION: Inguinal hernia is a commonly en- countered urgent condition in surgical clinics. An ab- dominal wall hernia is a protrusion of the abdominal   tissues or organs through a weakness in the muscu- lar structure of the wall of the abdomen. Inguinal   and femoral hernias are usually classified together   as groin hernias [1]. It is believed that the prevalence of groin hernias in a population varies between 3%   and 8%. Between 75% and 85% of all hernias are ob- served in men. Inguinal hernias account for 80– 83%   of all hernias (59% indirect inguinal hernias, 25% di- rect inguinal hernias, 5% femoral hernias). The most   common hernias in both genders is inguinal hernia; however, femoral hernias are reported to be more common in women than in men [2]. Worldwide, more than 20 million patients undergo groin hernia repair annually. The many different approaches, treatment indications and a significant array of techniques for groin hernia repair warrant guidelines to standardize care, minimize complications, and improve results.   The main goal of these guidelines is to improve pa- tient outcomes, specifically to decrease recurrence   rates and reduce chronic pain, the most frequent problems following groin hernia repair [3]. They have   been endorsed by all five continental hernia societ- ies, the International Endo Hernia Society and the   European Association for Endoscopic Surgery. Ingui- nal hernia is a commonly encountered urgent condi- tion in surgical clinics. Incarcerated inguinal hernia is   a commonly encountered urgent surgical condition,   and tension free repair is a well-established meth- od for the treatment of non-complicated cases [4].   However, due to the risk of prosthetic materialrelat- ed infections, the use of mesh in the repair of stran- gulated or incarcerated hernia has often been the   subject of debate. Recent studies have demonstrat- ed that biomaterials represent suitable materials for   performing urgent hernia repair [5]. Certain studies recommend mesh repair only for cases where no bowel resection is required; other studies, however,   recommend mesh repair for patients requiring bow-

 Muhammad Harris Siddique

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