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Related Experiment Videos

Mesh inguinal herniorrhaphy: a ten-year review

P G Janu1, K D Sellers, E C Mangiante

  • 1Department of Surgery, University of Tennessee at Memphis 38163, USA.

The American Surgeon
|December 11, 1997
PubMed
Summary

Mesh inguinal herniorrhaphy offers superior recurrence rates compared to non-mesh repairs. This study found open mesh repair significantly reduces recurrence without increasing infection risk or hospital stay.

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Simultaneous repair of bilateral inguinal hernias under local anesthesia.

Annals of surgery·1997

Area of Science:

  • General Surgery
  • Surgical Innovation

Background:

  • Inguinal herniorrhaphy is a common surgical procedure with 10-20% recurrence rates.
  • Mesh repair, favored by specialized centers, shows a low 0.2% recurrence rate.
  • Concerns regarding mesh repair include cost, technical difficulty, and infection risk.

Purpose of the Study:

  • To compare the outcomes of mesh versus non-mesh inguinal herniorrhaphy at a large teaching institution.

Main Methods:

  • A retrospective study of 892 patients undergoing primary inguinal hernia repair from 1985-1994.
  • Patients were stratified by repair type: Lichtenstein (Mesh), open anterior (Bassini, Marcy, McVay, Shouldice), laparoscopic (Lap), and preperitoneal (Post).
  • Outcomes analyzed included operative time, hospital stay, wound infections, and recurrence rates.

Main Results:

  • Mesh repair operative time (111 min) was longer than Bassini/McVay (91/98 min) but shorter than laparoscopic (192 min).
  • Hospital stay and wound infection rates were not significantly different between mesh and non-mesh groups.
  • Mesh repair demonstrated a significantly lower recurrence rate (0.3%) compared to open anterior repair (3.5%).

Conclusions:

  • Open mesh inguinal herniorrhaphy provides superior recurrence rates compared to traditional non-mesh techniques.
  • Mesh repair does not increase the risk of infection, length of stay, or technical difficulty.
  • This study supports the efficacy of mesh repair for primary inguinal hernias.

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