Lichtenstein Gerilimsiz Herniorafi Sonrası Kronik Kasik Ağrısını Önlemede Hafif, Kendinden Kavrayan Ağ Etkili Midir?

Abstract

Background: Inguinal hernia repair is among the most frequent elective or emergency operations performed in general surgical practice. Lichtenstein hernia repair is considered the gold standard for managing such cases. Postoperative complications especially post-surgical chronic groin pain stands still as a very disabling complication. In this study, we investigated the chronic postoperative pain on 2 different types of meshes. Materials and Methods: This is a retrospective study evaluating the results of open herniorrhaphy with self gripping mesh or regular prolene mesh. Patients included the study that was male and aged 18-65 years, which presented with unilateral inguinal hernia and were favorable with Lichtenstein tension-free herniorrhaphy using mesh. Results: The median duration of the operation was 44.6 m ± 6.1 on Group-1 and the median duration of the operation was 24.6 m ± 5.4 on Group-2, as significantly shorter than Group-1 (p< 0.001). The median hospital stay of the patients was 1 day and no statistically significant difference has detected between groups. At follow-up on the third month, the rate of the patients with complaints of mild chronic groin pain in Group-1 was % 11.1 vs none in Group-2(p˂0.05). No recurrence has been detected in both groups after 8.4 months of follow-up. Conclusions: Our experience of lightwight self-gripping mesh demonstrates that the material is both safe and effective in matters of postoperative complications and recurrence and is very promising in prohibiting chronic groin pain.

Buttressing Sutures at the Center of the Mesh May Reduce the Probability of Recurrence in Onlay Incisional Hernia Repair: A Single-Center Study

“…However, the presence of the prosthetic mesh itself may not significantly contribute to postoperative complaints [ 16 ]. It is also important to note that the occurrence of chronic pain can be affected by the mesh fixation technique, including the type of mesh or fixation method used [ 17 ]. Our study found no significant difference in chronic pain between the two groups.…”