Abstract
Purpose: The introduction of light weight three-dimension meshes into the field of inguinal hernia repair showed excellent outcomes. Ultrapro Hernia System (UHS) is one of these three-dimension meshes that allow reinforcing the pre-peritoneal space with minimal fixation. It improves the patient quality of life with rapid resumption of the daily activities. The aim of this study is to evaluate the short-term outcomes of open mesh repair of primary complex inguinal hernia using UHS mesh. Methods: Between November 2013 and November 2015, seventy five male patients with complex primary inguinal hernia were submitted to open inguinal hernia mesh repair using the UHS. Results: The mean age was 46.1 years. Thirty three patients had inguinoscrotal hernias, 14 with Nyhus type IIIA, 22 with Nyhus type IIIB, & 6 patients had strangulated hernias. The mean operative time was 48 minutes. No operative complications were recorded. Post-operatively, the mean VAS scale on 1 day, 1 week, & 1 month was 3.22, 1.2, & 0.3 respectively. The mean duration of oral analgesics use was 2.1 days. None of the patients reported any chronic pain at 12 months post-operatively. Two cases of superficial wound infection were recorded that were treated by oral antibiotics. No recurrence was reported during a mean follow-up period of 26 months. Conclusion: Inguinal hernia repair using UHS is an effective technique that combines the advantages of the anterior and the pre-peritoneal approaches. It improves the patient’s quality of life with minimal recurrence rates. A larger number of patients with longer follow up periods are needed to increase the validity of our results.
Highlights
The development of Lichtenstein tension-free polypropylene mesh hernioplasty was one of the breakthroughs in the treatment of inguinal hernia as it decreased the recurrence rates to 1% - 2% [1]
The aim of this study is to evaluate the short-term outcomes of open mesh repair of primary complex inguinal hernia using Ultra-Pro Hernia System (UHS) mesh
Gilbert had developed another solution for mesh repair of inguinal hernia. His technique combined Lichtenstein repair in which the mesh was placed between the internal and external oblique muscles with the pre-peritoneal approach. He used the “Prolene Hernia System” which is a new devise formed of circular mesh placed in the pre-peritoneal space with a connector placed in the defect that connects the pre-peritoneal mesh with another flat mesh that covers the floor of the inguinal canal [4]
Summary
The development of Lichtenstein tension-free polypropylene mesh hernioplasty was one of the breakthroughs in the treatment of inguinal hernia as it decreased the recurrence rates to 1% - 2% [1]. Many surgeons applied another technique where they used the posterior pre-peritoneal mesh placement method especially in the recurrent cases [2] [3] Gilbert had developed another solution for mesh repair of inguinal hernia. His technique combined Lichtenstein repair in which the mesh was placed between the internal and external oblique muscles with the pre-peritoneal approach. He used the “Prolene Hernia System” which is a new devise formed of circular mesh placed in the pre-peritoneal space with a connector placed in the defect that connects the pre-peritoneal mesh with another flat mesh that covers the floor of the inguinal canal [4]. This study is aiming to evaluate the short-term outcomes of the open repair of complex primary inguinal hernia using UHS mesh
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