An additional strip of mesh minimises hernia recurrence after laparoscopic totally extraperitoneal (TEP) inguinal hernia repair; an analysis of 490 cases over 10 years

Clark, James; Wong, Ray K.; Richardson, Andrea; Vatish, Jamie; Haque, Ali; Bello, Abel Enrique; Al-Musawi, D.

doi:10.1016/j.amsu.2014.02.012

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“…It is characterized by simpler surgical method, lower recurrence rate, and can be implemented in basic-level hospitals, but risk of incision infection remained a problem. Mild infection can be treated by local washing, frequent dressing, and systemic antibiotics, but severe infection may appear at the wound nonunion after removing the patch and need secondary suturing, which increase pain and economic burden [ 3 – 6 ]. We enrolled a total of 60 patients with postoperative infection after tension-free repair of inguinal hernia in our Department of General Surgery from June 2013 to July 2014 to compare the curative effect of Mesalt combined with Mepilex versus traditional oil gauze dressing on incision infection healing.…”

Section: Introductionmentioning

confidence: 99%

Clinical Curative Effect of Mesalt Combined with Mepilex Dressing in Postoperative Infection of Inguinal Hernia

Liu

Xiong

et al. 2015

Med Sci Monit

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BackgroundInguinal hernia is a common surgical disease. Tension-free hernioplasty is currently commonly used for its treatment, with multiple advantages such as simple surgical method, low recurrence rate, and ability to be performed in primary care hospitals, but the risk of incision infection still exists. Mild infection can be cured by local washing, dressing, and systemic antibiotics. If the infection is severe, the wound may not heal after removing the patch, and secondary suturing is needed.Material/MethodsA total of 60 patients with postoperative infection after tension-free repair of inguinal hernia were randomly divided into control (n=30) and treatment (n=30) groups. Patients in the treatment group received Mesalt combined with Mepilex for dressing while the patients in the control group received conventional gauze for dressing. Pain degree, wound healing time, and dressing times were observed.ResultsThe clinical therapeutic effect in the treatment group was significantly better than in the control group. The treatment group exhibited significantly less pain when patients receive dressing, shorter wounds healing time (15±3.5 vs. 30±5.0), and less dressing frequency (10±2.1 vs. 20±2.4).ConclusionsMesalt combined with Mepilex can effectively improve postoperative infection after inguinal hernia treatment, obviously reducing pain, shorting wound healing time, and decreasing dressing frequency. It can be widely used in clinical practice.

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Section: Introductionmentioning

confidence: 99%