HERNIOPLASTY WITH AND WITHOUT MESH: ANALYSIS OF THE IMMEDIATE COMPLICATIONS IN A RANDOMIZED CONTROLLED CLINICAL TRIAL

ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)

Mariano Palermo¹  Pablo A. Acquafresca¹  Miguel Bruno¹  Francisco Tarsitano¹ 

关键词: Hernia;    inguinal;    Surgical mesh;    Postoperative complications;    Hérnia inguinal;    Telas cirúrgicas;    Complicações pós-operatórias;   

DOI  :  10.1590/S0102-67202015000300002

来源: SciELO

【 摘 要 】

Background:Inguinal hernia repair is the most common procedure in general surgery and 80,000 operations are performed annually in Great Britain, 100,000 in France and 700,000 in the US. Given its high frequency has a major impact, both in the medical and economic aspects.Aim:Analyze the immediate postoperative complications comparing mesh versus non mesh hernioplasty.Method:Randomized control trial, with the enrollment of 263 patients underwent surgery for inguinal hernia randomized by randomization table. Treatment (mesh, Lichtenstein or without mesh, Bassini technique) was assigned using sequentially numbered opaque envelopes having fulfilled the inclusion criteria. The variables analyzed were: postoperative pain, seroma, hematoma, infection, return to normal activities and recurrence.Results:The mean age was 55.5 years, 88% patients were male and 12% female. The pain was higher in patients operated with mesh.Conclusions:The inguinal hernia repair mesh group had less immediate postoperative complications and significantly earlier return to work than hernioplasty without mesh, this being one of the most important conclusions.

【 授权许可】

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