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- Title
Postoperative pain and surgical time in Inguinal hernia repair with self-gripping mesh: Experience in ambulatory surgery.
- Authors
Suárez-Grau, J. M.; Bellido Luque, J. A.; García Moreno, J. L.; Gómez Menchero, J.; Duran Ferreras, I.; Moreno Romero, R.; Ruiz Lupiaňez, E.; Guadalajara Jurado, J. F.
- Abstract
Aim: To Current best practice in surgery for abdominal wall hernias involves minimal trauma to the tissues using modern low molecular weight mesh to achieve a low incidence of mesh complications such as chronic groin pain or the sensation of an inflexible 'mesh plate'. Objective: A retrospective audit of inguinal hernia repair with a new self-adhesive mesh (Progrip ®) in patients undergoing ambulatory surgery. Material and Methods: Fifty patients were randomised to self-adhesive mesh repair or conventional mesh repair between January 2009 and January 2010. All patients were treated as day case procedures. Surgical operating time was compared with other techniques in open inguinal hernia repair in our hernia service. Results: There were 50 open hernioplasty with plug and mesh technique (Rutkow-Robbins). Surgery time: mean 28.6 minutes (range 10-50). Pain scores on a visual analogue scale of 1-10 were low (2.1 postoperatively and 0 at 6 months and one year. Other mesh techniques used had an operating time ranging between 34 and 45 minutes. Physical examination one month after the intervention reported no signs of recurrence, seroma, or infection or all of the patients. Conclusions: The use of self-adhesive mesh hernioplasty provides an effective technique, with the same complication profile as conventional suture fixation but with a reduced operating time.
- Subjects
PAIN management; PATIENTS; SURGERY -- Evaluation; RETIREMENT; INGUINAL hernia; AMBULATORY surgery; CLINICAL trials; PATIENT aftercare; EVALUATION of medical care; SURGICAL complications; OPERATIVE surgery; SURGICAL equipment; ADULT day care; SEDENTARY lifestyles; PHYSICAL activity; SURGERY
- Publication
Ambulatory Surgery, 2012, Vol 18, Issue 1, p18
- ISSN
0966-6532
- Publication type
Article