Application value of lightweight mesh plug for recurrent inguinal hernia in elderly patients

doi:10.3877/cma.j.issn.1674-392X.2018.05.015

Abstract

Abstract:

Objective

To investigate application value of lightweight mesh plug for recurrent inguinal hernia in elderly patients.

Methods

A total of 54 elderly patients of recurrent inguinal hernia receiving mesh plug operation in Beijing Electric Power Hospital from August 2013 to August 2016 were divided into two groups according using of lightweight mesh plug or standard mesh plug. There were 30 cases in lightweight mesh group and 24 cases in standard mesh group. The clinical data were collected and compared including operation time, post-operative hospital stay, incidence of seroma, foreign body sensation, chronic pain, recurrence rate and surgical site infection.

Results

The differences of age, ASA, operation time, intraoperative bleeding, and postoperative hospital stay between two groups were not statistically significant. No case of recurrence, chronic pain or surgical site infection was observed. The differences of hospital cost, incidence of seroma and foreign body sensation were significant between two groups.

Conclusion

It’s worthy to promote lightweight mesh plug in elderly patients with recurrent inguinal hernia although it may cost more. It can reduce the incidence of seroma and foreign body sensation.

Key words: Hernia, inguinal, Herniorrhaphy, Recurrence, Plug, Lightweight mesh

Hongwei Yu, Hai Deng, Limin Liu, Mingwen Zhu, Zongming Zhang. Application value of lightweight mesh plug for recurrent inguinal hernia in elderly patients[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2018, 12(05): 375-378.

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URL: https://zhshfbwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-392X.2018.05.015

https://zhshfbwkzz.cma-cmc.com.cn/EN/Y2018/V12/I05/375

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References 16

[1]	Jakhmola CK, Kumar A. Laparoscopic inguinal hernia repair in the Armed Forces: A 5-year single centre study[J]. Med J Armed Forces India, 2015, 71(4):317-323.
[2]	唐健雄，黄磊，李绍杰, 等. 我国疝和腹壁外科前景展望[J]. 中华外科杂志, 2017, 55(1):15-19.
[3]	刘子文，孙蒙清，张立阳, 等. 开放式腹膜前间隙修补术与Lichtenstein无张力修补术治疗腹股沟疝的比较研究[J]. 中华外科杂志, 2014, 52(9):682-85.
[4]	Öberg S, Andresen K, Rosenberg J. Surgical approach for recurrent inguinal hernias: a Nationwide Cohort Study[J]. Hernia, 2016, 20(6):777-782.
[5]	李民，刘小卫，熊俊, 等. 腹股沟疝无张力修补术712例术后并发症原因分析[J/CD]. 中华疝和腹壁外科杂志(电子版), 2010, 4(5):270-274.
[6]	Sanders DL, Samarakoon DH, Ganshirt SW, et al. A two-centre blinded randomised control study comparing the Lichtenstein patch, Perfix plug and ProLoop plug in the repair of primary inguinal hernia[J]. Hernia, 2009, 13(5):499-503.
[7]	Hirose T, Takayama Y, Komatsu S, et al. Randomized clinical trial comparing lightweight or heavyweight mesh for mesh plug repair of primary inguinal hernia[J]. Hernia, 2014, 18(2):213-219.
[8]	李颖如. 腹股沟疝无张力修补术后积液的B超诊断[J/CD]. 中华疝和腹壁外科杂志(电子版), 2010, 4(2):117-118.
[9]	Fang Z, Ren F, Zhou J, et al. Biologic mesh versus synthetic mesh in open inguinal hernia repair: system review and meta-analysis[J]. ANZ J Surg, 2015, 85(12):910-916.
[10]	Samaali I, Zenaidi HH, Dougaz W, et al. Treatment of inguinal hernia by lichtenstein technique: an open prospective study[J]. Tunis Med, 2016, 94(12):872.
[11]	唐健雄, 华蕾, 张逖. 上海地区腹股沟疝发病情况的初步流行病学调查[D]. 中华医学会第十四届全国外科学术会议论文汇编, 上海, 2001: 70.
[12]	Pisanu A, Podda M, Saba A, et al. Meta-analysis and review of prospective randomized trials comparing laparoscopic and Lichtenstein techniques in recurrent inguinal hernia repair[J]. Hernia, 2015, 19(3):355-66.
[13]	裴国清杨帆倪晓春, 等. 轻量型和中量型补片用于腹股沟疝无张力修补术的疗效对比[J/CD]. 中华疝和腹壁外科杂志(电子版), 2017, 11(1):4-9.
[14]	Fortelny RH, Petter-Puchner AH, Redl H, et al. Assessment of pain and quality of life in lichtenstein hernia repair using a new monofilament PTFE mesh: comparison of suture vs. fibrin-sealant mesh fixation[J]. Front Surg, 2014, 1:45.
[15]	Demetrashvili Z, Khutsishvili K, Pipia I, et al. Standard polypropylene mesh vs lightweight mesh for Lichtenstein repair of primary inguinal hernia: a randomized controlled trial[J]. Int J Surg, 2014, 12(12):1380-1384.
[16]	Ki V, Rotstein C. Bacterial skin and soft tissue infections in adults: A review of their epidemiology, pathogenesis, diagnosis, treatment and site of care[J]. Can J Infect Dis Med Microbiol, 2008, 19(2):173-184.

组别	例数	手术时间(min,±s)	术中出血(ml,±s)	术后住院时间(d,±s)	住院费用(元,±s)	血清肿[例(%)]	异物感[例(%)]
试验组	30	51.7±21.1	15.4±11.1	3.7±3.3	8 788.6±1 245.5	5(16.7)	6(20.0)
对照组	24	56.7±19.3	16.7±13.1	3.9±3.3	5 143.3±887.4	6(25.0)	8(33.3)
P值	?	0.883	0.929	0.786	0.013	0.021	0.391

组别	例数	手术时间(min,±s)	术中出血(ml,±s)	术后住院时间(d,±s)	住院费用(元,±s)	血清肿[例(%)]	异物感[例(%)]
试验组	30	51.7±21.1	15.4±11.1	3.7±3.3	8 788.6±1 245.5	5(16.7)	6(20.0)
对照组	24	56.7±19.3	16.7±13.1	3.9±3.3	5 143.3±887.4	6(25.0)	8(33.3)
P值	?	0.883	0.929	0.786	0.013	0.021	0.391

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