İnguinal Herni Onarımlarında Kullanılan Polipropilen Meshin Performansı ve Güvenlik Değerlendirmesi

Abstract

Amaç: Bu çalışmanın amacı polipropilen mesh kullanılarak açık gerilimsiz fıtık onarımı yapılan hastaların verilerini literatürden elde edilen verilerle karşılaştırmak ve bu meshin ameliyat sonrası erken dönemdeki etkinliğini ve güvenilirliğini değerlendirmektir. Bu çalışmanın sonuçları, farklı mesh malzemelerinin karşılaştırılması açısından literatüre ek veri sağlayacaktır. Gereç ve Yöntemler: Bu kesitsel ve gözlemsel çalışmada, üçüncü basamak bir hastanede polipropilen mesh kullanılarak standart Lichtenstein yöntemiyle gerilimsiz fıtık onarımı uygulanmış olan 96 hastanın ameliyat sonrası erken dönem verileri değerlendirildi ve literatürden elde edilen verilerle karşılaştırıldı. Bulgular: Hastaların ortalama yaşı 58,59±13,82 (aralık, 20-83) yıl idi. Hastanede kalış süresinin ortancası 1 (aralık, 1-4) gün idi. Görsel ağrı skalası (visual analogue scale, VAS) skorlarının ortancası ameliyat günü için 2 (aralık, 0-4) olarak belirlenirken, ameliyat sonrası 1. gün için 0 (aralık, 0-4) ve ameliyat sonrası 2. gün için ise 0 (aralık, 0-2) olarak belirlendi. Hastaların 5'inde, 3'ü (%3,13) hematom, 2'si (%2,08) yara yeri enfeksiyonu ve 1'i (%1,04) seroma olmak üzere toplam 6 komplikasyon gelişti. Bir hastada hem hematom hem de yara yeri enfeksiyonu bir arada belirlendi. Herhangi bir mortalite ile karşılaşılmadı. Sonuç: Polipropilen mesh, kasık fıtığı ameliyatlarında etkin ve güvenli bir şekilde kullanılabilir. Sentetik mesh malzemelerinin klinik kullanıma girmesinden bu yana bazı komplikasyonlar rapor edilmiş olsa da bunların hiçbiri henüz polipropilen mesh kullanımını olumsuz etkileyecek durumlar olarak değerlendirilmemiştir.

Keywords

• Fıtık
• İnguinal
• mesh
• polipropilen
• fıtık onarımı
• ameliyat sonrası komplikasyonlar

Performance and Safety Evaluation of Polypropylene Mesh Used in Inguinal Hernia Repairs

Abstract

Aim: This study aimed to compare the data of patients who underwent open tension-free hernia repair using polypropylene mesh with the data obtained from the literature, and to evaluate the efficacy and safety of this mesh in the early postoperative period. The results of this study will provide additional data to the literature in terms of comparing different mesh materials. Material and Methods: In this cross-sectional, and observational study, the early postoperative-period data of 96 patients who had undergone standard Lichtenstein tension-free hernia repair using polypropylene mesh in a tertiary-level hospital, using polypropylene mesh were evaluated and compared with the data obtained from the literature. Results: The mean age of patients was 58.59±13.82 (range, 20-83) years. The median length of hospital stay was 1 (range, 1-4) day. The median of visual analogue scale (VAS) scores was 2 (range, 0-4) for the day of surgery, 0 (range, 0-4) for postoperative day-1, and 0 (range, 0-2) for postoperative day-2. A total of 6 complications developed in 5 of the patients, 3 (3.13%) were hematoma, 2 (2.08%) were wound site infections, and 1 (1.04%) was seroma. In one patient, both hematoma and wound infection were determined. No mortality was encountered. Conclusion: Polypropylene mesh could be used effectively and safely in groin hernia operations. Although some complications with the use of synthetic mesh materials have been reported since the introduction of these materials into clinical use, none of these have yet been considered as conditions that will adversely affect the use of polypropylene mesh.

Keywords

• Hernia
• inguinal
• polypropylene
• herniorrhaphy
• postoperative complications
• mesh

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