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

100%
Łebkowski Ł., Białek P., Uryszek M., Polańska M., Proczka R., Polański J.
Polish Journal of Surgery
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2008
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vol. 80
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issue 12
653-658
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.
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Migration of biomaterials used in gastroenterological surgery

100%
Ratajczak A., Kościński T., Banasiewicz T., Lange-Ratajczak M., Hermann J., Bobkiewicz A., Drews M.
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vol. 85
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issue 7
377-380
EN
Mesh biomaterials have become the standard in the treatment of hernias, regardless the location. In addition to the obvious advantages of the methods based on implantable biomaterials, one should be aware of the possible complications, such as their migration to the abdominal organs. Material and methods. The study group comprised patients operated at the Department of General, Gastroenterological Oncology, and Plastic Surgery during the period between 2008 and 2011, due to hernia surgery with mesh implantation. We also analysed the number of patients operated, due to complications of mesh migration during the same period. Results. 368 patients were subject to mesh implantation, due to hernias during the period between 2008 and 2011. Three patients underwent surgery because of symptomatic migration of the mesh (ileus, fistula). Conclusions. The frequency of mesh migration is difficult to determine because of the different criteria of migration, observation period, and other factors. In patients after mesh implantation the potential migration of the biomaterial should be considered in case of unclear or acute abdominal symptoms.
3
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Quality of life after inguinal hernia repair

88%
Iftikhar N., Kerawala A. A.
Polish Journal of Surgery
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2021
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vol. 93
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issue 3
35-39
EN
Introduction: Inguinal hernias are the most commonly presented abdominal hernias with approximately 20 million people operated annually throughout the world. Severe chronic pain after hernia repair effects social life, daily activity and overall quality of life. The Short Form-36 is (SF-36) a validated indicator of overall health status. Studies have shown that the reliability of the SF-36 is exceeding 0.80. Aim: Our aim of study is to determine the effect of unilateral open mesh repair by using SF-36 on pain control and quality of life of patient. Methods: This cross-sectional study was carried out at Indus Hospital Karachi from 1st April 2018 to 10th September 2018. 88 patients were enrolled in this study according to the inclusion and exclusion criteria. A written and informed consent was taken from all of them. After surgery they were sent home on painkillers. They were called at 4 weeks and were required to fill a pre designed questionnaire Short form-36. Results: Results showed that out of the 88 patients enrolled in this study 35 (39.8%) experienced mild pain, 37 (42%) experience moderate pain and only 16 (18.2%) experienced severe pain. Quality of life was satisfactory in 72 (81%) and unsatisfactory in 13 (14.7%). Conclusion: Hence it is concluded that post operatively patients experienced better physical functioning and emotional role functioning whereas their perceptions about their general health and energy were satisfactory. Hernia surgery should be offered to all the patients with a clinically detectable hernia.
4
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Analysis of Inguinal Hernia Management Using Lichtenstein's Method - Own Experience

88%
Chrzan R., Kulpa T.
Polish Journal of Surgery
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2010
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vol. 82
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issue 7
403-409
EN
The aim of the study was to analyze inguinal hernia procedures performed by means of Lichtenstein's method.Material and methods. During the period between December, 2004 and December, 2006, 216 patients were subject to surgery due to inguinal hernias. One hundred and three patients were qualified for analysis. Surgical operations were performed in most cases in local anesthesia, in addition to conduction, short intravenous or general anesthesia. Statistical analysis was used for assessing the average incidence split according to their gender and body weights. The length of treatment of patients depending on their gender was estimated and statistical analysis of hernia location was performed.Results. No patient was found to develop early complications, the average operation time was 65 minutes, the average length of treatment for men was 5 days, for women 3 days.Conclusions. Removal of inguinal hernia by the Lichtenstein method was found a good method in treating this disease. This method is convenient for the patient, safe, there are almost no complications and the length of patient's stay in the surgical ward is shortened down.
5
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Ileus and Intestinal Obstruction - Comparison Between Children and Adults

63%
Peyvasteh M., Askarpour S., Javaherizadeh H., Taghizadeh S.
Polish Journal of Surgery
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2011
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vol. 83
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issue 7
367-371
EN
Bowel obstruction is the interference with movement of bowel content. Large and small in testing from duodenum to anal region can be obstructed mechanical or non-mechanical and complete or partial. Mechanical obstruction can presented because of obstructive causes in intestinal lumen, intestinal wall or pressure from other tissue on intestine.The aim of the study was to evaluate etiology, laboratory findings of intestinal obstruction and ileus among children and adults who discharged with good condition.Material and methods. This retrospective study was carried out from 2001 to 2006 in Imam Khomeini Hospital (Ahvaz-Iran). Cases of bowel obstruction were included in this study. For each case, a questionnaire was filled. There are 752 cases with suspected bowel obstruction. From 752 cases, 403 patients that agreed and treated and discharged with good condition were studied. Cases were divided into two groups: children (age < 15 yrs) and adults (age> 15 yrs). Data were analyzed by SPSS Ver 16.0 (Chicago, IL, USA) and Epi-info Ver 6.00.Results. In our study, 221 adults and 192 children were included. Mortality rate was 12.2%. Forty-eight percent of 403 cases were children (m - 61%, f - 38%, ambigus genitalia - 1%) and 52% were adults (m - 67%, f - 33%). Etiology of bowel obstruction in children were as follows: ileus (26%); adhesion band (17.7%), partial obstruction (16.1%), and Hirschsprung's disease (12%). Causes of bowel obstruction in adults are: partial obstruction (29.9%); ileus (19%); adhesion band (18.5%); colonic pseudo obstruction(8.5%); GI cancer (5.2%); hernia (4.7%); Crohn (2.8%); fecal impaction (3.3%); bezoar (2.4%), and 4.7% for other causes. Fifty-one percent of children and 36% of adults were operated. Of all children, 91.7% had upright abdominal X-ray, 51.6% had supine X-ray, and 80.7% had sonography. Hundred percents of adults had upright & supine plain abdominal X-ray and 75.4% had sonography. Most change in children's CBC was 10000
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