ANALYSIS OF PROSTHETIC MESH REPAIR IN OBSTRUCTED INGUINAL HERNIA

Abstract

Aims and objectives: The basic aim of the study is to analyse the prosthetic mesh repair in ob- structed inguinal hernia. Material and methods: This cross sectional study was performed with 70 patients who had been admitted to our hospital’s emergency department between January 2019 to August 2019, to undergo surgery for a diagnosis of obstructed inguinal hernia. Patients who died in the postoper- ative period due to systemic complications, as well as those who were lost during the follow-up period, were excluded from the study. The patients were di- vided into two groups based on the applied surgical technique. Results: Mesh-based repair techniques were performed on the 35 patients comprising Group 1, while tissue repair techniques were performed on the 35 patients comprising Group 2. In this study, 81.5% of the patients were male, while 18.5% were female. Female patients had a significantly higher ra- tio of femoral hernia than male patients, while male patients had a significantly higher ratio of inguinal hernia than female patients. In Group 3 (table 1), 6.7% (1) of the patients had wound infections, while 6.7% hematomas, 6.7% had seromas, and none had relapses. In Group 4, 7.2% of the patients had wound infections, while 1% had hematomas, 3% had sero- mas, and 1% had relapses. Conclusion: It is conclud- ed that the use of polypropylene mesh in incarcer- ated inguinal hernia repair has no negative effect on wound infection or complications. INTRODUCTION: Inguinal hernia is a commonly en- countered urgent condition in surgical clinics. An ab- dominal wall hernia is a protrusion of the abdominal tissues or organs through a weakness in the muscu- lar structure of the wall of the abdomen. Inguinal and femoral hernias are usually classified together as groin hernias [1]. It is believed that the prevalence of groin hernias in a population varies between 3% and 8%. Between 75% and 85% of all hernias are ob- served in men. Inguinal hernias account for 80– 83% of all hernias (59% indirect inguinal hernias, 25% di- rect inguinal hernias, 5% femoral hernias). The most common hernias in both genders is inguinal hernia; however, femoral hernias are reported to be more common in women than in men [2]. Worldwide, more than 20 million patients undergo groin hernia repair annually. The many different approaches, treatment indications and a significant array of techniques for groin hernia repair warrant guidelines to standardize care, minimize complications, and improve results. The main goal of these guidelines is to improve pa- tient outcomes, specifically to decrease recurrence rates and reduce chronic pain, the most frequent problems following groin hernia repair [3]. They have been endorsed by all five continental hernia societ- ies, the International Endo Hernia Society and the European Association for Endoscopic Surgery. Ingui- nal hernia is a commonly encountered urgent condi- tion in surgical clinics. Incarcerated inguinal hernia is a commonly encountered urgent surgical condition, and tension free repair is a well-established meth- od for the treatment of non-complicated cases [4]. However, due to the risk of prosthetic materialrelat- ed infections, the use of mesh in the repair of stran- gulated or incarcerated hernia has often been the subject of debate. Recent studies have demonstrat- ed that biomaterials represent suitable materials for performing urgent hernia repair [5]. Certain studies recommend mesh repair only for cases where no bowel resection is required; other studies, however, recommend mesh repair for patients requiring bow-