The use of prosthetic mesh in adult inguinal hernia repair
Keywords:Direct hernia, Indirect hernia, Inguinal hernia, Mesh repair
Background: An abdominal wall hernia is a protrusion of a viscus or part of a viscus through an abnormal opening in the wall of the abdominal cavity. Different approaches have been described in regards to management and repair of hernia. The present study aims at showing the rate of frequency to use the prosthetic mesh versus classical repair in adult inguinal hernia.
Methods: A retrospective study lasted from October 2014 to July 2018 in Al-Karama Teaching Hospital. The study Samples consist of 315 patients with inguinal hernia, the age group (20-70) years old they were diagnosed according to clinical examination. There are 76 patients operated on using mesh technique (tension free).
Results: All patients in our series were male, with age group (20-70) years. However, the inguinal hernia more frequent with increase age. In age groups; (40-49) was 25 patients (32.89%). The indirect inguinal hernias are most common in the young 65% whereas direct hernias are most common in the old. In our series sixty-one (80.26%) patients with indirect inguinal hernias, eleven (11.82%) patients with direct hernias and six (5.263%) patients with pantaloon type.
Conclusions: The frequent uses of mesh in inguinal hernioplasty increasing with age. Tension –free hernioplasty is technically simple surgical operation, which can be used to repair any groin hernia. The use of mesh patch with or without plug is technically easier to work than the classical methods and far simple to secure to surrounding tissues.
Parra J, Revuelta S, Gallego T, Bueno J, Berrio J, Farinas M. Prosthetic mesh used for inguinal and ventral hernia repair:normal appearance and complications in ultrasound and CT Bri J Radiol. 2004;77(915):261-5.
Klinge U, Klosterhalfen B, Birkenhauer V, Junge K, Conze J, Schumpelick V. Impact of polymer pore size on the interface scar formation in a rat model. J of Surg Res. 2002;103(2):208-14.
Collaboration EHT. Repair of groin hernia with synthetic mesh: meta-analysis of randomized controlled trials. Annals Surg. 2002;235(3):322.
O'dwyer P, Kingsnorth A, Molloy R, Small P, Lammers B, Horeyseck G. Randomized clinical trial assessing impact of a lightweight or heavyweight mesh on chronic pain after inguinal hernia repair. British J Surg. 2005;92(2):166-70.
Klosterhalfen B, Junge K, Klinge U. The lightweight and large porous mesh concept for hernia repair. Expert Rev Med Devices. 2005;2(1):103-17.
Moran B, Farquharson M. Farquharson's Textbook of Operative General Surgery: CRC Press; 2005.
Rutkow IM. Demographic and socioeconomic aspects of hernia repair in the United States in 2003. The Surgical clinics of North America. 2003;83(5):1045-5.
Carbajo M, Del Olmo JM, Blanco J, De la Cuesta C, Toledano M, Martin F, et al. Laparoscopic treatment vs open surgery in the solution of major incisional and abdominal wall hernias with mesh. Surgical Endoscopy. 1999;13(3):250-2.
Wantz GE. The operation of Bassini as described by Attilio Catterina. Surg Gynecol Obstet. 1989;168(1):67-80..
Simons M, Aufenacker T, Bay-Nielsen M, Bouillot J, Campanelli G, Conze J, et al. European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Springer; 2009;13(4): 343–403.
Glassow F. The Shouldice Hospital technique. Int surgery. 1986;71(3):148-53.
Arroyo A, Garcia P, Perez F, Andreu J, Candela F, Calpena R. Randomized clinical trial comparing suture and mesh repair of umbilical hernia in adults. British J of surgery. 2001;88(10):1321-3.
Amid PK. Lichtenstein tension-free hernioplasty for the repair of primary and recurrent inguinal hernias. Abdominal Wall Hernias: Springer; 2001: 423-427.
Billiar T, Andersen D, Hunter J, Brunicardi F, Dunn D, Pollock RE. Schwartz's principles of surgery: McGraw-Hill Professional;2004.
Lichtenstein IL, Shulman AG, Amid PK, Montllor MM. The tension-free hernioplasty. The Am J Surg. 1989;157(2):188-93.
Rutkow IM. Epidemiologic, economic, and sociologic aspects of hernia surgery in the United States in the 1990s. Surgical Clin N Am. 1998;78(6):941-51.
Soppa R. The midline preperitoneal approach and prosthetic repair of groin hernia. Nyhus and Condons hernia 5th ed Philadelphia. 2002: 199.
Sinnatamby CS. Last's Anatomy, Int Edition: Regional and Applied: Elsevier Health Sciences; 2011.
Williams NS, Bulstrode CJ, Connell PRO. Abdominal wall, hernia and umbilicus. Bailey and love’s short practice of surgery, 26th edn CRC Press, Florida. 2013:957-8.
Wilhelm T, Freudenberg S, Jonas E, Grobholz R, Post S, Kyamanywa P. Sterilized mosquito net versus commercial mesh for hernia repair. Eur Surg Res. 2007;39(5):312-7.
Yang J, Papandria D, Rhee D, Perry H, Abdullah F. Low-cost mesh for inguinal hernia repair in resource-limited settings. Hernia. 2011;15(5):485-9.
Amid PK, Shulman AG, Lichtenstein IL. Critical scrutiny of the open “tension-free” hernioplasty. Am J of Surg. 1993;165(3):369-71.
McCormack K, Wake B, Perez J, Fraser C, Cook J, McIntosh E, et al. Laparoscopic surgery for inguinal hernia repair:systematic review of effectiveness and economic evaluation. NIHR Health Technol Assessment programme: Executive Summaries: NIHR Js Library; 2005.
Mann DV, Prout J, Havranek E, Gould S, Darzi A. Late-onset deep prosthetic infection following mesh repair of inguinal hernia. The American J of Surgery. 1998;176(1):12-4.
Aguirre DA, Santosa AC, Casola G, Sirlin CB. Abdominal wall hernias: imaging features, complications, and diagnostic pitfalls at multi–detector row CT. Radiographics. 2005;25(6):1501-20.
Costello C, Bachman S, Grant S, Cleveland D, Loy T, Ramshaw B. Characterization of heavyweight and lightweight polypropylene prosthetic mesh explants from a single patient. Surgical Innovation. 2007;14(3):168-76.
Dabbas N, Adams K, Pearson K, Royle G. Frequency of abdominal wall hernias: is classical teaching out of date? JRSM short reports. 2011;2(1):1-6.
Shaikh AR, Rao AM, Muneer A. Inguinal mesh hernioplasty under local anaesthesia. JPMA-J Pakistan Medical Association. 2012;62(6):566.
Ostergard DR. Degradation, infection and heat effects on polypropylene mesh for pelvic implantation:what was known and when it was known. Int Urogynecol J. 2011;22(7):771-4.
Martin D, Williams R, Mulrooney T, Voeller G. Ventralex mesh in umbilical/epigastric hernia repairs: clinical outcomes and complications. Hernia. 2008;12(4):379-83.
Zinner MJ, Ashley SW. Maingot's abdominal operations: McGraw Hill Professional; 2018.
Bendavid R, Abrahamson J, Arregui ME, Flament JB, Phillips EH. Abdominal wall hernias:principles and management: Springer; 2001.