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

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 t...

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Autores principales:	Ahmed Talat Ali Behiery, Ahmed Salama Sayouh, Nagah Atwa Salem
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2021
Materias:	inguinal huge double single mesh Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/c4127ed23cac4a5aa910c54739bbd613
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spelling	oai:doaj.org-article:c4127ed23cac4a5aa910c54739bbd6132021-12-02T14:49:26ZComparison between Single Mesh and Double Mesh Placement in Huge Inguinal Hernia2636-41742682-378010.21608/ijma.2021.56574.1239https://doaj.org/article/c4127ed23cac4a5aa910c54739bbd6132021-07-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_172863_94a78d455ce169576c1ae4c048db8f02.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: 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.Ahmed Talat Ali BehieryAhmed Salama SayouhNagah Atwa SalemAl-Azhar University, Faculty of Medicine (Damietta)articleinguinalhugedoublesinglemeshMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 3, Iss 3, Pp 1589-1597 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	inguinal huge double single mesh Medicine (General) R5-920
spellingShingle	inguinal huge double single mesh Medicine (General) R5-920 Ahmed Talat Ali Behiery Ahmed Salama Sayouh Nagah Atwa Salem Comparison between Single Mesh and Double Mesh Placement in Huge Inguinal Hernia
description	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.
format	article
author	Ahmed Talat Ali Behiery Ahmed Salama Sayouh Nagah Atwa Salem
author_facet	Ahmed Talat Ali Behiery Ahmed Salama Sayouh Nagah Atwa Salem
author_sort	Ahmed Talat Ali Behiery
title	Comparison between Single Mesh and Double Mesh Placement in Huge Inguinal Hernia
title_short	Comparison between Single Mesh and Double Mesh Placement in Huge Inguinal Hernia
title_full	Comparison between Single Mesh and Double Mesh Placement in Huge Inguinal Hernia
title_fullStr	Comparison between Single Mesh and Double Mesh Placement in Huge Inguinal Hernia
title_full_unstemmed	Comparison between Single Mesh and Double Mesh Placement in Huge Inguinal Hernia
title_sort	comparison between single mesh and double mesh placement in huge inguinal hernia
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2021
url	https://doaj.org/article/c4127ed23cac4a5aa910c54739bbd613
work_keys_str_mv	AT ahmedtalatalibehiery comparisonbetweensinglemeshanddoublemeshplacementinhugeinguinalhernia AT ahmedsalamasayouh comparisonbetweensinglemeshanddoublemeshplacementinhugeinguinalhernia AT nagahatwasalem comparisonbetweensinglemeshanddoublemeshplacementinhugeinguinalhernia
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Comparison between Single Mesh and Double Mesh Placement in Huge Inguinal Hernia

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