Abstract:
Objective To explore the effects and safety of self-gripping patch and suture fixation mesh in inguinal hernia with Lichtenstein tension-free hernia repair.
Methods A total of 112 patients with inguinal hernia admitted to Gong'an County People's hospital from January 2017 to July 2018 were selected. All patients underwent Lichtenstein tension-free hernia repair, and they were divided into observation group (self-gripping mesh) and control group (suture fixation mesh) according to the random number table method, with 56 cases in each group. The operative time, hospitalization cost, postoperative foreign body sensation, postoperative pain [visual analogue scale (VAS)], postoperative complications (scrotal effusion, wound infection) and recurrence rate were compared between the two groups. The changes in quality of life [General Quality of Life Invemtory-74 (GQOLI-74)] before and after surgery were observed.
Results The operative time in observation group was shorter than that in control group, and the hospitalization cost was higher than that in control group (P<0.05). The incidence rate of foreign body sensation in observation group at 1, 3, 6, 9 and 12 months after surgery was significantly lower than that in control group, and the VAS scores at 3 d, 1, 3, 6 and 12 months after surgery were lower than those in control group (P<0.05). There were no statistically significant differences in the incidence rates of scrotal effusion and wound infection between the two groups (P>0.05), and no recurrence occurred at 12 months of follow-up. At 3 months after surgery, the scores of dimensions of GQOLI-74 in the two groups were higher than those before surgery (P<0.05), and the score of body function in observation group was higher than that in control group (P<0.05).
Conclusion Both self-gripping mesh and suture fixation mesh in Lichtenstein tension-free hernia repair have few complications and no recurrence in the repair of inguinal hernia. Self-gripping mesh can shorten the operative time, and reduce postoperative pain and foreign body sensation, and it is conducive to improving the quality of life, but its hospitalization cost is relatively high.
Key words:
Hernia, inguinal,
Lichtenstein tension-free hernia repair,
Self-gripping mesh,
Suture fixation mesh,
Complications,
Foreign body sensation
Xiaohua Zhang, Yurong Huang, Guangming Lin, Peng Guo, Xin Xiong, Gang Su, Yang Liu. Comparison of effects of self-gripping mesh and suture fixation mesh for Lichtenstein tension-free hernia repair[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2020, 14(05): 500-503.