Application of acellular matrix biological mesh and polypropylene mesh in incarcerated inguinal hernia: A prospective randomized controlled study

doi:10.3877/cma.j.issn.1674-392X.2018.05.013

Abstract

Abstract:

Objective

To investigate the clinical effect and safety of acellular matrix biological mesh and polypropylene mesh in the treatment of incarcerated inguinal hernia.

Methods

60 cases of incarcerated inguinal hernia in Sichuan People's Hospital from May 2013 to May 2015 were randomly divided into two groups. The experimental group was treated with acellular matrix biological mesh, while the control group was treated with polypropylene patch. The recurrence rate, incision infection, chronic pain and foreign body sensation of the two groups were compared and analyzed.

Results

There were no significant differences between the experimental group and the control group in general information, operation time, postoperative hospitalization time (P>0.05). After 3 years follow-up, there were no significant differences in recurrence rate, incision infection rate and chronic pain rate between the two groups (P>0.05). The incidence of postoperative foreign body sensation in the control group was higher than that in the experimental group, and the incidence of seroma in the control group was lower than that in the experimental group (P<0.05).

Conclusion

Acellular matrix biological mesh for incarcerated inguinal hernia can reduce the incidence of postoperative foreign body sensation, but do not increase the recurrence rate.

Key words: Hernia, inguinal, Incarceration, Mesh, Polypropylene, Acellular matrix

Xiaogang Zhou, Kai Wang, Zhan Liu, Guixiang Huang. Application of acellular matrix biological mesh and polypropylene mesh in incarcerated inguinal hernia: A prospective randomized controlled study[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2018, 12(05): 367-370.

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References 16

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组别	例数	性别(男/女)	年龄(岁)	体质量指数(kg/m²)	嵌顿时间(h)	Gilbert分型[例(%)]
组别	例数	性别(男/女)	年龄(岁)	体质量指数(kg/m²)	嵌顿时间(h)	Ⅱ	Ⅲ	Ⅶ
试验组	30	26/4	53(42~66)	22.7(17.2~22.2)	8(6~16)	10(33.3)	17(56.7)	3(10.0)
对照组	30	25/5	56(44~63)	20.5(18.0~21.5)	8(6~18)	11(36.7)	15(50.0)	4(13.3)
F值	?	?	1.086	1.035	0.697	?
P值	?	0.000	0.398	0.422	0.313	0.414^a

组别	例数	性别(男/女)	年龄(岁)	体质量指数(kg/m²)	嵌顿时间(h)	Gilbert分型[例(%)]
组别	例数	性别(男/女)	年龄(岁)	体质量指数(kg/m²)	嵌顿时间(h)	Ⅱ	Ⅲ	Ⅶ
试验组	30	26/4	53(42~66)	22.7(17.2~22.2)	8(6~16)	10(33.3)	17(56.7)	3(10.0)
对照组	30	25/5	56(44~63)	20.5(18.0~21.5)	8(6~18)	11(36.7)	15(50.0)	4(13.3)
F值	?	?	1.086	1.035	0.697	?
P值	?	0.000	0.398	0.422	0.313	0.414^a

组别	例数	手术时间(min)	术后住院时间(d)	住院花费(元)
试验组	30	80(60~90)	6(5~8)	13 090( 9 804~14 090)
对照组	30	75(55~80)	6(5~8)	12 453(10 103~13 809)
F值	?	0.999	1.067	1.275
P值	?	0.797	0.989	0.374

组别	例数	手术时间(min)	术后住院时间(d)	住院花费(元)
试验组	30	80(60~90)	6(5~8)	13 090( 9 804~14 090)
对照组	30	75(55~80)	6(5~8)	12 453(10 103~13 809)
F值	?	0.999	1.067	1.275
P值	?	0.797	0.989	0.374

组别	例数	复发	感染	慢性疼痛	异物感	血清肿
试验组	30	2(6.7)	1(3.3)	6(20.0)	1( 3.3)	5(16.7)
对照组	30	1(3.3)	2(6.7)	5(16.7)	7(23.3)	3(10.0)
P值	?	0.123^a	0.398^a	0.222^a	0.000^a	0.036^a

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