Incidence of complications following open mesh repair for inguinal hernia

  • Authors

    • Awad Alawad University of Medical Sciences and Technology
    • Rashid Abd Elhalim Khalil
    2014-09-05
    https://doi.org/10.14419/ijm.v2i2.3280

  • Abstract

    Background: Traditional suture repair of inguinal hernia is fast giving way to routine tension-free mesh repair. In many countries, mesh repair is now more common than suture repair.

    Objective: To study mesh related complications in the early postoperative period in patient with inguinal hernia.

    Methods: This cross-sectional study was conducted at Khartoum teaching hospital. One hundred and three patients who had mesh repair for inguinal hernia were the base for this study between January and December 2011 using a structured questionnaire.

    Results: The mean age of the patients is 43.203 ±14.41 years (STD). There were 95.1% males (n=98) and 4.9% females (n=5). Tension-free mesh repair was done for 103 patients, 12 patients (11.3%) developed wound hematoma, another 12 patients (11.3%) developed numbness at the site of operations, 11 patients (10.7%) developed scrotal swelling, nine patients (8.7%) developed seroma and four patients (3.9%) developed neuralgia at the site of operations.

    Conclusion: Mesh repair of inguinal hernias is not free of complications. A larger sample size and further studies are needed to compare outcome of mesh repair in our environment more objectively with traditional inguinal hernia repair.

    Keywords: Inguinal Hernia; Mesh Repair; Complications.

  • References

    1. Aasvang E & Kehlet H (2005): Surgical management of chronic pain after inguinal hernia repair. Br J Surg 92, 795-801. http://dx.doi.org/10.1002/bjs.5103.
    2. Agarwal BB, Agarwal KA & Mahajan KC (2009): Prospective double-blind randomized controlled study comparing heavy- and lightweight polypropylene mesh in totally extraperitoneal repair of inguinal hernia: early results. Surg Endosc 23, 242-247. http://dx.doi.org/10.1007/s00464-008-0188-2.
    3. Agrawal A & Avill R (2006): Mesh migration following repair of inguinal hernia: a case report and review of literature. Hernia 10, 79-82. http://dx.doi.org/10.1007/s10029-005-0024-8.
    4. Agresta F, Mazzarolo G, Balbi P & Bedin N (2010): Inguinal-scrotal hernias in young patients: is laparoscopic repair a possible answer? Preliminary results of a single-institution experience with a transabdominal preperitoneal approach. Hernia 14, 471-475. http://dx.doi.org/10.1007/s10029-010-0677-9.
    5. Bringman S, Wollert S, Osterberg J & Heikkinen T (2005): Early results of a randomized multicenter trial comparing Prolene and VyproII mesh in bilateral endoscopic extraperitoneal hernioplasty (TEP). Surg Endosc 19, 536-540. http://dx.doi.org/10.1007/s00464-004-9100-x.
    6. Buczynowsika M, Cienciala A, Friediger J, Steczko-Sieczkowska M, Topa J, Waz K & Gotfryd-Bugajska K (2008): [Epidemiologic analyse 660 patients operated propter inguinal hernia with implantation synthetic mesh]. Folia Med Cracov 49, 39-44.
    7. Champault G, Bernard C, Rizk N & Polliand C (2007): Inguinal hernia repair: the choice of prosthesis outweighs that of technique. Hernia 11, 125-128. http://dx.doi.org/10.1007/s10029-006-0179-y.
    8. Corcione F, Pede A, Cuccurullo D, Marzano E, Manzi F, Pirozzi F & Ruggiero R (2005): Treatment of primary inguinal hernias by "held in mesh repair": our experience related to 3,520 cases. Hernia 9, 263-268. http://dx.doi.org/10.1007/s10029-005-0329-7.
    9. Farooq O & Bashir ur R (2005): Recurrent inguinal hernia repair by open preperitoneal approach. J Coll Physicians Surg Pak 15, 261-265.
    10. Kaynak B, Celik F, Guner A, Guler K, Kaya MA & Celik M (2007): Moloney darn repair versus lichtenstein mesh hernioplasty for open inguinal hernia repair. Surg Today 37, 958-960. http://dx.doi.org/10.1007/s00595-007-3543-3.
    11. Khan LR, Kumar S & Nixon SJ (2006): Early results for new lightweight mesh in laparoscopic totally extra-peritoneal inguinal hernia repair. Hernia 10, 303-308. http://dx.doi.org/10.1007/s10029-006-0093-3.
    12. Khan N, Naeem M, Bangash A, Asadullah, Sadiq M & Hamid H (2008): Early outcome of Lichtenstein technique of tension-free open mesh repair for inguinal hernia. J Ayub Med Coll Abbottabad 20, 29-33.

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  • How to Cite

    Alawad, A., & Khalil, R. A. E. (2014). Incidence of complications following open mesh repair for inguinal hernia. International Journal of Medicine, 2(2), 60-62. https://doi.org/10.14419/ijm.v2i2.3280

    Received date: 2014-07-26

    Accepted date: 2014-08-30

    Published date: 2014-09-05