Abstract
Background: Surgery for inguinal hernias has evolved over a prolonged period of time with the main outcome of interest being recurrence and pain. Mesh hernioplasty has been practiced with increasing frequency at Kenyatta National hospital (KNH) since its formal introduction in 2006. There has not been any published data on outcome of hernia treatment at this institution for both non-mesh and mesh techniques. Objective: To evaluate the rates of recurrence and inguinodynia at KNH for patients undergoing mesh repair. Methods: The study was conducted on all inguinal hernia patients operated between 1st October 2006 and 30th October 2011. Demographic and treatment characteristics were abstracted from files. The outcomes of interest (recurrence and inguinodynia) were obtained from follow up data from patients’ files or by telephone survey where these were missing or were incomplete. Results: A total of 181 patients had complete demographic and operative data in their files over the study period. Of these 129 were followed for a mean duration of 37 months. The hernia recurrence rate was 4.7% while the inguinodynia rate was 30.2%. Conclusion: There is a low recurrence rate but a high prevalence of inguinal pain and discomfort (inguinodynia).Keywords: Hernia, Inguinodynia, Recurrence, Mesh
Highlights
Inguinal hernia repair is the most frequent operation in general surgery [1]
There was a trend toward decreased complications, with a significant difference in the hematoma/seroma rates, and a significant decrease in the recurrence rate for the prolene hernia system (PHS) mesh group [6,7]
All patients who had been operated for groin hernia using mesh technique at Kenyatta National hospital (KNH) since year 2006 were included in the study
Summary
Inguinal hernia repair is the most frequent operation in general surgery [1]. The most important criteria for the choice of surgical technique are safety, recurrence rate and satisfaction to the patient [2]. A newer technique that combines the three principles of onlay, plug and underlay mesh placement has been developed Such meshes include the prolene hernia system (PHS) or ultrapro hernia system (UHS). The aim of this study was to document the recurrence and inguinodynia rates among patients undergoing mesh hernioplasty at KNH, a non-hernia specialist centre. Objective: To evaluate the rates of recurrence and inguinodynia at KNH for patients undergoing mesh repair. Results: A total of 181 patients had complete demographic and operative data in their files over the study period. Of these 129 were followed for a mean duration of 37 months. Conclusion: There is a low recurrence rate but a high prevalence of inguinal pain and discomfort (inguinodynia)
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