Ergin ASLAN, Tutkun TALİH, Hasan ERDEM, Bahadır ÖZ, Kasım ÇAĞLAYAN, Mesut SİPAHİ

IS THE MESH FIXATION ESSENTIAL 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 Lichtenstein and sutureless methods respectively. The patients were analyzed in two groups according to the surgical procedures, namely the Lichtenstein group (n = 46) and the sutureless mesh group (n = 52). The age and gender of patients, operation time, early complications and the long-term results (recurrence and pain) were evaluated. Results: There was no significant difference in age and gender between groups (p> 0.01). The mean duration of operation was 30.6 ± 3.72 minutes in the sutureless-mesh group and 45.3 ± 6.84 minutes in the Linchsteinstein group, which exerted statistically significant difference, (p <0.001). There was no statistical difference in terms of early complications and recurrence between the groups (p> 0.01). The mean VSA values were 2.0 ± 1.08 in the Sutureless-mesh group and 4.3 ± 1.62 in the Linchsteinstein group in the first week (p <0.001) , 1.7 ± 0.60 in the Sutureless-mesh group and 2.4 ± 1.45 in the Linchsteinstein group in the first month (p: 0.012) and finally 1.2 ± 0.41 in the Sutureless-mesh group and 1.5 ± 1.33 in the Linchsteinstein group during the first 12 months (p :0.145 ). Conclusion: The suturless-mesh method did not affect early and late postoperative complications. The results of our study indicated that the suturless-mesh method could be safely and effectively used for inguinal hernia repair.

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