OC-036 SİNGLE SURGEON EXPERİENCE WİTH MONOTYPE MESH FOR İNGUİNAL HERNİA REPAİR

Abstract

Abstract Summary Complex inguinal anatomy, mesh variety, surgeon's use of mesh, surgical technique preference made it inevitable to examine the recurrence of inguinal hernia. Unlike the literature, we examined the recurrence rates of a single experienced general surgeon using a single type of mesh, separately for laparoscopy and open surgery. Method Uniform mesh (ProgripTM self-fixating in open, Polipropilen mesh in laparoscopic) was applied. A total of 314 patients who underwent hernia surgery for the first time performed by a single expert general surgeon between 2013–2022 were included in the study. Demographic data, perioperative data, body mass indexes, co-morbidities and recurrence status were documented. Results The mean follow-up period was 75.2 months(3–158). Recurrence developed in a total of 24 patients(7.6%). Recurrence developed in 14 patients(7.3%) who underwent open hernia repair, while recurrence was found in 10(8.2%) of laparoscopic repairs(p=0.77). Diabetes mellitus was diagnosed in 8 patients(33.3%) in the group with recurrence, while diabetes was diagnosed in 14 patients(4.8%) in the group without recurrence(p<0.001). While there was cardiovascular disease in 16 patients(66.7%) in the group with recurrence, cardiovascular disease was observed in 99 patients(34.1%) in the group without recurrence(p=0.001). Discussion Recurrence rates after inguinal hernia repair were found to be compatible with the literature. We found that all patients with recurrence had high ASA scores, heavy lifting, chronic constipation, diabetes mellitus, and cardiovascular disease problems. Especially if we take into account the early return to work in the post-operative period, it doesn't seem easy to reduce the recurrence rate, which is dependent on many factors.