Lichtenstein Gerilimsiz Herniorafi Sonrası Kronik Kasik Ağrısını Önlemede Hafif, Kendinden Kavrayan Ağ Etkili Midir?

Öz

Amaç: Kasık fıtığı onarımı, genel cerrahi pratiğinde en sık yapılan elektif ve acil ameliyatlar arasındadır. Lichtenstein herni onarımı, bu tür vakalar için altın standart olarak kabul edildir. Ameliyat sonrası komplikasyonlar, özellikle ameliyat sonrası kronik kasık ağrısı, oldukça sık bir komplikasyon olarak görülmektedir. Bu çalışmada iki farklı meshin kronik postoperatif ağrıya etkisi araştırıldı.
Materyal ve Metod: Lischtenstein onarımı yapılan hastalarda kendiliğinden kavrayan mesh ve normal prolen mesh sonuçlarını değerlendirdi. Tek taraflı kasık fıtığı ile başvuran ve mesh kullanılarak gerilimsiz herniorafi yapılan 18-65 yaş arası erkek hastalar çalışmaya dahil edildi.
Bulgular: Median operasyon süresi Grup-1'de 44,6 ± 6,1 dakika, Grup-2'de 24,6 ± 5,4 dakika idi. ,Median operasyon süresi Grup-1'den anlamlı olarak daha kısa olarak bulundu(p <0,001). Has-taların hastanede kalış süreleri ortalama 1 gündü ve gruplar arasında istatistiksel olarak anlamlı bir fark saptanmadı. Üçüncü ay takibinde Grup-1'de hafif kronik kasık ağrısı şikayeti olan hasta oranı %11,1 iken Grup-2'de hiç yoktu (p˂0,05). 8,4 aylık takip sonrasında her iki grupta da nüks saptanmadı.
Sonuç: Kendinden kavrayan mesh deneyimimiz, materyalin postoperatif komplikasyonlar ve nüks açısından hem güvenli hem de etkili olduğunu ve kronik kasık ağrısını önleme konusunda çok umut verici olduğunu göstermektedir.

Anahtar kelimeler: Gerilimsiz herniorrafi, mesh fiksasyonu, kendiliğinden kavranan mesh

Anahtar Kelimeler

• gerilimsiz herniorrafi
• mesh fiksasyonu
• kendiliğinden kavranan mesh

Is Lightweight Self-Gripping Mesh Effective on Preventing Chronic Groin Pain Following Lichtenstein Tension-Free Herniorrhaphy?

Öz

Background: Inguinal hernia repair is among the most frequent elective or emergency opera-tions performed in general surgical practice. Lichtenstein hernia repair is considered the gold standard for managing such cases. Postoperative complications especially post-surgical chronic groin pain stands still as a very disabling complication. In this study, we investigated the chronic postoperative pain on 2 different types of meshes.
Materials and Methods: This is a retrospective study evaluating the results of open hernior-rhaphy with self gripping mesh or regular prolene mesh. Patients included the study that was male and aged 18-65 years, which presented with unilateral inguinal hernia and were favorable with Lichtenstein tension-free herniorrhaphy using mesh.
Results: The median duration of the operation was 44.6 m ± 6.1 on Group-1 and the median duration of the operation was 24.6 m ± 5.4 on Group-2, as significantly shorter than Group-1 (p< 0.001). The median hospital stay of the patients was 1 day and no statistically significant difference has detected between groups. At follow-up on the third month, the rate of the patients with complaints of mild chronic groin pain in Group-1 was % 11.1 vs none in Group-2(p˂0.05). No recurrence has been detected in both groups after 8.4 months of follow-up.
Conclusions: Our experience of lightwight self-gripping mesh demonstrates that the material is both safe and effective in matters of postoperative complications and recurrence and is very promising in prohibiting chronic groin pain.

Key Words: Tension-free herniorrhaphy, mesh fixation, self-gripping mesh

Anahtar Kelimeler

• tension-free herniorraphy
• mesh fixation
• self-gripping mesh

Kaynakça

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