A Clinical Significance of a Tension-free Hernioplasty with Mesh for Adult Inguinal Hernia Repair.
- Author:
Jae Moon BAE
1
Author Information
1. Department of Surgery, Ewha Womans University Mokdong Hospital College of Medicine, Ewha Womans University.
- Publication Type:Original Article
- Keywords:
Tension-free hernioplasty;
Mesh
- MeSH:
Adult*;
Analgesics;
Hernia;
Hernia, Inguinal*;
Herniorrhaphy*;
Humans;
Korea;
Length of Stay;
Operative Time;
Recurrence;
Retrospective Studies
- From:Journal of the Korean Surgical Society
2000;58(2):252-258
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Recently, a tension-free herniorrhaphy method using mesh prosthetics has been per formed increasingly in Korea. However, there are few reports discussing the patch-closure method and providing guidance for its use. Therefore, it is necessary to evaluate the clinical significance of using patch-closure method for adult hernia patients. METHODS: From among 239 adult hernia patients a clinical analysis was done retrospectively on 37 patients who had undergone a tension-free herniorrhaphy. The clinicopathologic features analyzed were age, sex, location, symptom, type of operation, anesthetic method, recurrence rate, use of postoperative analgesics, operating time, complications, and length of hospital stay. The clinical features of the tension- free hernioplasty group and a conventional hernioplasty group were compared. RESULTS: The period of analgesics use was significantly shorter in the tension-free hernioplasty group than in the conventional hernioplasty group (p<0.01, 1.5 days vs 2.8 days, respectively). The operative time was significantly longer in the tension-free hernioplasty group than in the conventional hernioplasty group (p<0.01, 105.8 min vs 71.6 min, respectively). The recurrence rate after a conventional hernio plasty was 2.3% (4/117), but there was no recurrence after a tension-free hernioplasty. CONCLUSION: A tension-free hernioplasty with mesh is a pain-relief operation and has tendency for lower recurrence. It is suggested that a tension-free hernioplasty with mesh should be performed for old-aged people and recurrent cases.
