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2008 | 80 | 12 | 653-658
Article title

Results of the Inguinal Hernia Repair With The Use of Mesh. Analysis of the Operation Technique Influence on Post-Operative Complications

Content
Title variants
Languages of publication
EN
Abstracts
EN
The aim of the study was to demonstrate the relation between the operation technique and the early and late complications after the primary and secondary inguinal hernia repairs with the use of artificial material.Material and methods. There were 103 patients qualified for the research from among 140 patients operated within the period of 2003 - 2005. In all patients the same kind of mesh was used (100% Prolene). The operators were asked to fill in a special, original questionnaire. In all patients hernia type was classified during the repair with the use of Nyhus classification, seven key technical details of the treatment were described, subsequently the most frequent post-operative complications and inexpedient symptoms were evaluated - just after the operation and in 18 months time. Statistic one-dimension analysis of X2 method was applied or Fisher's exact test. After indication of the links, multidimensional analysis of logistic regression was used.Results. Based on the multidimensional analysis of logistic regression the links between technical details of the treatment and complications were evaluated. The analysis shows that only high tension has a significant influence on complications' emergence (p<0.0001). Precision of the model amounts to 71%. Additionally each particular complication was analyzed separately.Conclusions. Based on above mentioned results the operation technique algorithm was created with the smallest number of complications. From among analyzed technical details of the operation the special attention should be put at those which are directly and indirectly connected to the mesh binding. The lack of its tension is assumed to be the key factor of the whole procedure that minimizes one of the most serious post-operative complication which is the chronic pain.
Keywords
Publisher

Year
Volume
80
Issue
12
Pages
653-658
Physical description
Dates
published
1 - 12 - 2008
online
4 - 5 - 2010
Contributors
  • Department of Colorectal Cancer Surgery, Maria Skłodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw
  • 2 Department of General, Oncological and Vascular Surgery, 2 Faculty of Medicine, Medical University in Warsaw
  • 2 Department of General, Oncological and Vascular Surgery, 2 Faculty of Medicine, Medical University in Warsaw
  • 2 Department of General, Oncological and Vascular Surgery, 2 Faculty of Medicine, Medical University in Warsaw
  • 2 Department of General, Oncological and Vascular Surgery, 2 Faculty of Medicine, Medical University in Warsaw
  • 2 Department of General, Oncological and Vascular Surgery, 2 Faculty of Medicine, Medical University in Warsaw
References
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  • Alfieri S, Rotondi F, Di Giorgio A et al.: Influence of preservation versus division of ilioinguinal, iliohypogastric, and genital nerves during open mesh herniorrhaphy: prospective multicentric study of chronic pain. Ann Surg 2006; 243(4): 553-58.
  • Bartlett DC, Porter C, Kingsnorth AN: A pragmatic approach to cutaneus nerve division during open inguinal hernia repair. Hernia 2007, 11(3); 243-66. Epub 2007 Mar 20.[Crossref]
  • Ravichandran D, Kalambe BG, Pain JA: Pilot randomized controlled study of preservation or division of ilioinguinal nerve in open mesh repair of inguinal hernia. Br J Surg 2000; 87(9): 1166-67.
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Document Type
Publication order reference
Identifiers
YADDA identifier
bwmeta1.element.-psjd-doi-10_2478_v10035-008-0092-4
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