Tension-free mesh repair for incarcerated groin hernia
10.3760/cma.j.issn.1007-631X.2019.05.008
- VernacularTitle:嵌顿性腹股沟疝修补术中使用补片材料的经验
- Author:
Fuqiang CHEN
1
;
Fenglin ZHAO
;
Jie CHEN
;
Min LIU
;
Cuihong JIN
;
Fan WANG
;
Yingmo SHEN
Author Information
1. 首都医科大学附属北京朝阳医院疝和腹壁外科
- Keywords:
Hernia,inguinal;
Heniorrhaphy;
Biological mesh
- From:
Chinese Journal of General Surgery
2019;34(5):406-409
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the safety and efficacy of tension-free mesh repair in the treatment of incarcerated groin hernia,and to compare the outcome of biological mesh and polypropylene mesh repairment.Methods A retrospective study was conducted on 118 patients admitted from Jan 2013 to Dec 2017 receiving emergency incarcerated groin hernia repair in Beijing Chao-Yang Hospital.The incidence of surgical site infection (SSI),perioperative mortality,sepsis and ileus were compared.In the follow-up,the postoperative foreign body sensation,chronic pain,seroma/hematoma and recurrence were recorded.The outcome of different surgical procedures (with mesh/without mesh,biological mesh/polypropylene mesh,TAPP/Lichtenstein repair) were compared and analyzed.Results 14 cases received suture repair (group A),104 cases underwent TAPP (n=44) repair or Lichtenstein repair (n =60) with meshes,including 23 cases using biological mesh (group B) and 81 cases using polypropylene mesh (group C).After 20.5 months of follow-up (ranging from 6-65 months),3 cases in group A (21.4％) developed recurrence,the rate was significantly higher than that of group B (4.3％) and group C (0).The incidence of seroma/hematoma in group B was higher than that in group A (7.1％) and group C (7.4％).There were no significant differences between the 3 groups regarding the postoperative adverse events rate,SSI,mortality,sepsis and ileus (all P ＞ 0.05).Conclusions Tension-free mesh repair in the treatment of emergency incarcerated groin hernia is safe and effective,which can reduce the recurrence rate of hernia,without increasing the risk of infection.
