Beta
ManageSearchChatDiscover
172863

Comparison between Single Mesh and Double Mesh Placement in Huge Inguinal Hernia

Article

Last updated: 04 Jan 2025

OverviewSimilar Items

Subjects

-

Tags

Surgery

Abstract

Background: Recurrence after surgical treatment of inguinal hernia is still a challenge facing surgeons during their daily practice.
Aim of the Work: The current trial aims to compare single and double mesh placement in huge inguinal hernia repair.
Patients and Methods: 40 cases were involved in the study. They were classified into two equal groups according to the operative technique [A for single mesh and B for double mesh]. The study's candidates were examined and investigated thoroughly regarding their complaint, the presence of a clinically detectable hernia in the inguinal region, its size, characters, onset, duration, and associated symptoms. Then, all were examined clinically and prepared for surgical intervention after lab investigations.
Results: The mean ages were 56 and 56.9 years for groups A and B. Both groups were comparable to body mass index, risk factors, type of hernia, hernia side, and intraoperative blood loss. There was a significant decrease in operative time in group A when compared to group B [54.50 ± 8.256 vs. 61.25 ± 6.664 minutes, respectively]. The overall rate of complications was lower in group B when compared to group A [30.0% vs. 50.0%, respectively]. Complications in group A were seroma [10.0%], wound infection [5.0%], scrotal edema [25.0%], and chronic pain [10.0%]; while in group B, seroma [10.0%], scrotal edema [5.0%], chronic pain [15.0%]. Recurrence was confined to group A, and reported to three patients [15.0%]. However, the difference was statistically nonsignificant.
Conclusion: Double mesh technique is a safe and efficacious approach for managing huge inguinal hernia. It is associated with lower rate of recurrence than the single mesh approach with comparable operative time, complications, and outcomes. 

DOI

10.21608/ijma.2021.56574.1239

Keywords

Inguinal, Huge, double, single, Mesh

Authors

First Name

Ahmed Talat Ali

Last Name

Behiery

MiddleName

-

Affiliation

Department of Surgery, Ministry of Health, Egypt

Email

ahmed.talaat@domazhermedicine.edu.eg

City

-

Orcid

-

First Name

Ahmed Salama

Last Name

Sayouh

MiddleName

-

Affiliation

Department of General Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

asalama2000@domazhermedicine.edu.eg

City

New Damietta

Orcid

-

First Name

Nagah Atwa

Last Name

Salem

MiddleName

-

Affiliation

Department of General Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

nagahsalem@domazhermedicine.edu.eg

City

Gamalia

Orcid

-

Volume

3

Article Issue

3

Related Issue

27050

Issue Date

2021-07-01

Receive Date

2021-01-04

Publish Date

2021-07-01

Page Start

1,589

Page End

1,597

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 3_Issue 3_Pages 1589-1597.pdf

PDF . 2.1MB

Link

https://ijma.journals.ekb.eg/article_172863.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=172863

Order

13

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

Comparison between Single Mesh and Double Mesh Placement in Huge Inguinal Hernia

Details

Type

Article

Created At

22 Jan 2023