Hernioplasty With and Without Mesh: Analysis of the Immediate Complications in a Randomized Controlled Clinical Trial

Abstract

Background: Inguinal hernia repair is the most common procedure in general surgery and 80,000 operations are performed annually in Great Britain, 100,000 in France and 700,000 in the US. Given its high frequency has a major impact, both in the medical and economic aspects. Aim: Analyze the immediate postoperative complications comparing mesh versus non mesh hernioplasty. Method: Randomized control trial, with the enrollment of 263 patients underwent surgery for inguinal hernia randomized by randomization table. Treatment (mesh, Lichtenstein or without mesh, Bassini technique) was assigned using sequentially numbered opaque envelopes having fulfilled the inclusion criteria. The variables analyzed were: postoperative pain, seroma, hematoma, infection, return to normal activities and recurrence. Results: The mean age was 55.5 years, 88% patients were male and 12% female. The pain was higher in patients operated with mesh. Conclusions: The inguinal hernia repair mesh group had less immediate postoperative complications and significantly earlier return to work than hernioplasty without mesh, this being one of the most important conclusions.

Infecção De Sítio Cirúrgico Pós-Alta: Ocorrência E Caracterização De Egressos De Cirurgia Geral

“…Foi demonstrada maior ocorrência de herniorrafias e colecistectomias. Herniorrafia é um procedimento comumente realizado na especialidade da Cirurgia Geral (16) e existe grande diversidade de técnicas cirúrgicas. A escolha da técnica tem sido embasada na classificação de Nyhus, que leva em consideração pontos, como o local da hérnia na região inguinofemoral, o tipo de hérnia e a característica do assoalho do canal inguinal (17) .…”

Evaluation of 335 inguinal hernia repair by Lichtenstein technique: a retrospective study

“…Inguinal hernias account for 75% of abdominal wall hernias (1). Surgery is the only effective treatment modalities of inguinal hernias and inguinal hernia repair is the most common procedure in general surgery (2). More than a century, the success of the inguinal hernia surgery has been evaluated with the recurrence rate (3).…”

Ventral abdominal wall defect correction in rats with contaminated meshes

“…Among the main risk factors for its appearance, are wound infection and obesity, among others [1][2][3] .…”