Liechtenstein operation using modified mesh in patients with inguinal hernia
DOI:
https://doi.org/10.11603/2414-4533.2019.4.10538Keywords:
inguinal hernia, modified polypropylene mesh, postoperative wound complicationsAbstract
The aim of the work: to improve the results of surgical treatment of inguinal hernias (IH) using modified polypropylene mesh.
Materials and Methods. The analysis of surgical treatment of 144 patients with IH was performed. Depending on the type of mesh used during surgical treatment, patients were divided into 2 groups. In 72 (50 %) patients of group I, modified polypropylene mesh was used. In group II, 72 (50 %) patients classic polypropylene mesh was used.
Results and Discussion. Statistically significant results were obtained in patients of group I compared to group II: seroma was in 4 (5.6 %) in group II compared to 2 (2.8 %) in group I (p<0.05), respectively, the suppuration of the postoperative wound – 4 (5.6 %) to 1 (1.4 %) (p<0.05). The terms of stay of patients of group II on inpatient treatment – (11.2±2.2) days group II – (7.3±1.3) days. Long-term results: ligature fistulas of the anterior abdominal wall were detected in 3 (5.4 %) patients of group II, in patients of group I of the ligature fistulas were not detected (p<0.05), meshoma – in 1 (1.8 %) of patients in group II, in group I there was no stir (p>0.05). Chronic pain in the abdominal wall in 6–8 months after surgery was observed in 3 (5.4±0.4) % patients in group II and in 1 (1.8±0.5%) group I (p>0.05), recurrences of hernia were found in 3 (5.4±0.4%) patients of group II, in group I – in 1 (1.8±0.3)% (p<0.05). Surgical treatment of IH using modified polypropylene mesh antiseptic and by carbon nanotubes the use of the classical polypropylene mesh, namely, reducing the frequency of seroma from (5.6±1.2) % in the group II of patients to (2.8±0.4) % in group I, respectively, suppurations of postoperative wounds – from (5.6±0.4) % to (1.4±0.6) %, inflammatory infiltrates – from (5.6±0.4) % to (1.4±0.6) %, ligaturial fistulas of the anterior abdominal wall – from (5.4±0.4) % to 0 %, meshoma – from (1.8±0.3) % to 0 %, chronic postoperative pain – from (5.4±0.4) % to (1.8±0.5) %, recurrence of hernia – from (5.4±0.4) % to (1.8±0.3) %.
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