Tutkun TALİH, Ergin ARSLAN, Hasan ERDEM, Mesut SİPAHİ, Kasım ÇAĞLAYAN, Bahadir ÖZ

İNGUİNAL HERNİ ONARIMINDA MESH FİKSASYON GEREKLİ MİDİR?

Amaç: Bu retrospektif randomize çalışmanın amacı sutur kullanılmadan yapılan mesh ile inguinal herni onarımında erken ve kronik komplikasyonlar ve postoperatif ağrıyı değerlendirmektir. Materyal ve Metod: Ocak 2010 ve ocak 2013 yılları arasında 218 hasta inguinal herni nedeni ile opereedildi.İnkarsere inguinal herni, femoral herni ve nüks herni nedeni ile 120 hasta çalışma dışı tutuldu. Doksansekiz hastaya Lichtenstein ve sütürsüz yöntem kullanılarak inguinal herni onarımı yapıldı. Hastalar Lichtensteingrubu (n = 46) ve sutursuz onarım grubu (n = 52) olarak iki grupta incelendi. Hastanın yaşı, cinsiyeti, ameliyatsüresi, erken komplikasyonlar ve uzun vadeli sonuçları (nüks ve ağrı) değerlendirildi. Bulgular: Çalışmadayaş ve cinsiyet açısından anlamlı bir fark yoktu (P> 0.01). Ortalama operasyon süresisütürsüz mesh grubunda grubunda( 30.6 ± 3.72 dakika) linchsteinstein grubuna göre (45.3 ± 6.84 dakika) dahadüşük idi (p 0.01) .Ortalama visual ağrı skala değeri postoperatif 1. haftada Sütürsüz onarım grubunda 2.0 ± 1.08 ve Linchsteinstein grubunda 4.3 ± 1.62 (p

Is The Mesh Fixation Necessary for Inguinal Hernia Repair?

Aim: The aim of this retrospective randomized study was to evaluate the effect of sutureless-mesh technique,which is used to repair inguinal hernia, on early and chronic complications and postoperative pain. Materials and Methods: A total of 98 patients underwent inguinal hernia repair using the Lichtensteinand sutureless methods respectively. The patients were analyzed in two groups according to the surgicalprocedures, namely the Lichtenstein group (n = 46) and the sutureless mesh group (n = 52). The age andgender of patients, operation time, early complications and the long-term results (recurrence and pain) wereevaluated. Results: There was no significant difference in age and gender between groups (p> 0.01). The meanduration of operation was 30.6 ± 3.72 minutes in the sutureless-mesh group and 45.3 ± 6.84 minutes in theLinchsteinstein group, which exerted statistically significant difference, (p 0.01). The mean Visual painscale (VSA) values were 2.0 ± 1.08 in the Sutureless-mesh group and 4.3 ± 1.62 in the Linchsteinstein groupin the first week (p

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