Preperitoneal mesh placement via internal ring for inguinal hernias: A cost-effective alternative to memory-ring patch
Küçük Resim Yok
Tarih
2012
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Background. Groin hernia repair is one of the most frequent procedure in general surgery. Many different techniques of inguinal hernia repair have been described. The successful results of transinguinal preperitoneal (TIPP) repair technique using a memory ring patch have been reported. We have prefered monofilament polypropylene flat mesh instead of memory ring patch which has higher cost to perform TIPP repair technique. The purpose of this retrospective study was to evaluate our primary results more than 3 years after surgery. Methods. This study included consecutive adult patients who were treated with surgery for inguinal hernia by the same surgeon using the same technique between February 2007 and February 2008. A retrospective review of a prospectively maintained databese was performed. Data were reviewed for all patients undergoing TIPP hernia repair. Results. Thirty-three patients (31 men and 2 women) with a mean age of 48.4 years (range 19-67 years) underwent anterior transinguinal preperitoneal mesh hernioplasty. The mean operation time was 26 min (range 17-38 min). The mean follow-up was more than 36 months in all patients (range 37-46 months). There were no recurrences during follow-up. One patient (3%) described chronic groin pain. Conclusion. Groin hernias are a significant health problem and economic burden for developing countries because of high cost of surgery and loss of workforce. TIPP repair technique can be performed using the monofilament polypropylene flat mesh with acceptable long term complication rate. The use of the monofilament polypropylene flat mesh can be feasible and cost effective alternative to memory ring patch, when performing TIPP technique.
Açıklama
Anahtar Kelimeler
Cost-effective, Herniorraphy, Inguinal hernia, Preperitoneal
Kaynak
Surgical Chronicles
WoS Q Değeri
Scopus Q Değeri
Q4
Cilt
17
Sayı
4
