Application of Herniamesh Oval Patch in preperitoneal inguinal tension-free hernia repair: video attached

doi:10.3877/cma.j.issn.1674-0793.2014.04.005

Abstract

Abstract:

Objective

To compare the clinical effects of Herniamesh Oval Patch with tension-free plug-mesh in the treatment of inguinal hernia repair.

Methods

One hundred and sixty cases of unilateral inguinal hernia from our department from January 2012 to January 2014 were randomly divided into Herniamesh Oval Patch group (trial group) and plug-mesh Patch group (control group), and a retrospective analysis of their clinical data was carried out, including the comparisons of operation time and hospitalization stay, postoperative pain in 24 hours and postoperative chronic pain VAS score after 3 months, and other complications.

Results

Operations of both groups went smoothly. The operation time was (34.35±7.95) minutes in trial group and (39.86±7.34) minutes in the control group; which had a significant difference (P<0.05) . The hospitalization stay of trial group was (2.44±0.87) days and (2.55±0.73) days for control group; postoperative hospitalization stay and expenses had no significant differences. There was statistically significant difference in VAS score and postoperative complications (P<0.05). A 4- to 29-month follow-up showed no recurrence and wound infections.

Conclusion

The clinical effect of Herniamesh Oval Patch in inguinal tension-free hernia is similar to tension-free plug-mesh hernia repair, with the advantages of shorter operation time, less pain and lower foreign body sensation.

Key words: Hernia, inguinal, Herniamesh Oval Patch, Hernia repair, Tension-free

Zengliang Liu, Jinbao Bai, Xinsheng Deng, Haisheng Liang, Hongzheng Qie, Longfei Wang, Ying Hu, Xin Wang. Application of Herniamesh Oval Patch in preperitoneal inguinal tension-free hernia repair: video attached[J]. Chinese Archives of General Surgery(Electronic Edition), 2014, 08(04): 275-279.

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Figures/Tables 2

References 9

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项目		试验组	对照组	t /χ²值	P值
例数		80	80	?	?
性别（男/女）		80/0	80/0	?	?
平均年龄（±s，岁）		64.20±8.29	64.35±8.06	-0.116^b	0.908
体重指数（±s，kg/m²）		22.19±2.69	21.93±2.63	0.639 ^b	0.524
最大疝环直径（±s，cm）		2.34±0.81	2.56±0.79	-1.775 ^b	0.078
术前VAS评分		1.23±0.42	1.29±0.46	-0.902^b	0.368
分型（例）		?	?	?	?
?	Ⅰ	47	46	?	?
?	Ⅱ	25	27	0.154^a	0.926
?	Ⅲ	8	7	?	?
伴随疾病（例）		?	?	?	?
?	高血压1级	28	25	0.254 ^a	0.614
?	冠心病	5	6	0.111^a	0.739
?	慢性支气管炎	5	7	0.360 ^a	0.548
?	2型糖尿病	10	11	0.055^a	0.815

项目		试验组	对照组	t /χ²值	P值
例数		80	80	?	?
性别（男/女）		80/0	80/0	?	?
平均年龄（±s，岁）		64.20±8.29	64.35±8.06	-0.116^b	0.908
体重指数（±s，kg/m²）		22.19±2.69	21.93±2.63	0.639 ^b	0.524
最大疝环直径（±s，cm）		2.34±0.81	2.56±0.79	-1.775 ^b	0.078
术前VAS评分		1.23±0.42	1.29±0.46	-0.902^b	0.368
分型（例）		?	?	?	?
?	Ⅰ	47	46	?	?
?	Ⅱ	25	27	0.154^a	0.926
?	Ⅲ	8	7	?	?
伴随疾病（例）		?	?	?	?
?	高血压1级	28	25	0.254 ^a	0.614
?	冠心病	5	6	0.111^a	0.739
?	慢性支气管炎	5	7	0.360 ^a	0.548
?	2型糖尿病	10	11	0.055^a	0.815

组别	手术时间（min，±s）	术后24 h疼痛评分（±s）	慢性疼痛（例）	术后住院天数（d，±s）	术中并发症（例）	切口感染（例）	复发（例）	阴囊积液、阴囊血清肿、血肿（例）	局部异物感（例）
试验组	34.35±7.95	1.75±0.72	0	2.44±0.87	0	0	0	1	1
对照组	39.86±7.34	2.56±1.05	15	2.55±0.73	0	0	0	8	17
t /χ²值	-4.558^a	-6.344^a	13.611^b	-0.888^a	?	?	?	9.009^b	16.025^b
P值	0.000	0.000	0.000	0.376	?	?	?	0.003	0.000

组别	手术时间（min，±s）	术后24 h疼痛评分（±s）	慢性疼痛（例）	术后住院天数（d，±s）	术中并发症（例）	切口感染（例）	复发（例）	阴囊积液、阴囊血清肿、血肿（例）	局部异物感（例）
试验组	34.35±7.95	1.75±0.72	0	2.44±0.87	0	0	0	1	1
对照组	39.86±7.34	2.56±1.05	15	2.55±0.73	0	0	0	8	17
t /χ²值	-4.558^a	-6.344^a	13.611^b	-0.888^a	?	?	?	9.009^b	16.025^b
P值	0.000	0.000	0.000	0.376	?	?	?	0.003	0.000

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