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[Open-groin hernia repair utilizing E-PTF mesh technique]
Luis Humberto Ortega-León1, Armando Vargas-Domínguez, David Ramírez-Tapia
1Servicio de Cirugía General, Unidad 305, Dr. Balmis 148, Col. Doctores, México D.F. CP 06726, México.
Background:
At present, utilization of mesh is best option for surgical groin hernia treatment. Affirmation must be corroborated in hernia clinics of a national concentration hospital to ascertain which is the most recommendable with regard to technique therapeutics and economic factors.
Place:
A tertiary level concentration general hospital.
Material:
There were 61 groin hernia repairs in 59 patients, 54 males 91.5% and five females (8.5%). Average 43 age was, minimum 17, maximum 81, median 41 mode 55 years. Plain mesh of expanded polytetrafluoroethylene was used.
Methods:
A prospective, descriptive, and longitudinal study was conducted in a 1-year. Inclusion criteria included patients who accepted the mesh proceeding and bought the mesh. We made a date gathering sheet with age, gender, hospital stay, surgical time, pain scale and complications. Patients underwent follow-up at 7, 14, 21, and 30 days after each month.
Results:
Average surgical time was 53 min average hospital stay 52 h. Five patients had complications, urine retention was present in two, and serosity in one there was case of rejection of surgical absorbable suture not related with mesh. There was no prolonged hospital stay, and no relapses. Pain measurement was performed at two different times; Average pain index was 3.76 for first and 2.48 for second on a 1-10 scale. On average, there were two doses of analgesics per patient. In this group, surgery was well accepted without severe complications and with low scale of pain.