بررسي نتايج در روش مش گذاري پره پريتونيال در 101 بيمار با فتق اينگوينال

EVALUATING RESULTS OF PREPERITONEAL MESH REPAIR IN CASES OF INGUINAL HERNIA

Background and Objectives: Preperitoneal mesh technique is one of the best and successful surgical method for repair of recurrent and large bulky inguinal hernias. Mesh repair by this method is being utilized by several specialized hernia centers, and has brought down recurrence or rerecurrence rates less than 2 percent. Materials and Methods: A total of 2,718 patients having undergone inguinal herniorrhaphy during the five -year period in Sina Hospital were identified through their case reports, and 101 patients (99 males, 2 females) were found being operated by peritoneal mesh repair. Results: Nearly most of patients were farmers or manual workers or had an aggravating factor in developing hernia or recurrence of hernia or whose work demanded heavy physical labor. According to Stoppa hernia stratification, 42 patients were of type I11 and 59 patients were found as type IV. Sixty five patients underwent bilateral and 30 patients unilateral Stoppa repair, while remaining 6 patients had a laparoscopic transabdominal preperitoneal mesh repair. The other purpose of this study was to observe any complications developed during hospital stay and postoperative follow up period. There was one report of infection developed in incision, one case of hydrocele and a case of hematoma. A patient who developed cirrhosis had expired. Eighty percent of patients returned to usual daily activity 2 weeks after operation. Only one recurrence was observed occurring as a femoral hernia in five years follow up period. Conclusion: Although preperitoneal mesh repair makes duration of stay (average 3.5 days) longer as compared with traditional hernia repair, it is associated with more advantages such as less complications, lower recurrences and patients return fast to the their usual activity.