Abstract
Abstract Introduction Incisional hernia or surgical hernia is quite a common occurrence in large operative wounds. Prosthetic mesh repair is imperative to tackle its high risk of recurrence. Conventional mesh (heavy weight) is considered thicker than is probably sufficient, with a volley of contradictory data regarding the outcomes of the light weight and the heavy weight mesh in incisional hernia repair. Objective To compare light and heavy weight mesh for foreign body sensation in the repair of incisional hernia. Materials and methods To proceed with this randomized controlled trial at the Surgical Unit III, Dept. ofSurgery, Lahore General Hospital, Lahore 260 patients based on inclusion criteria were selected from S-III ward. Then they were randomly and equally divided in two groups. Where group A was having light weight mesh (weight ≥35–<70 g/m2) repair and group B had a heavy weight mesh (≥140 g/m2) used in repair. At 7th post OP day, feeling of foreign body was noted. Then follow up for recurrence till 3 months. Results With light weight mesh feeling of foreign body was significantly low. (Light Weight Mesh: 14.6%vs. Heavy Weight Mesh: 36.9%, P-value = 0.000). Conclusion The lightweight meshes have benefits over the heavy weight mesh for incisional hernia repairs for having a reduced foreign body sensation.
Published Version
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