The results of open preperitoneal prosthetic mesh repair for acutely incarcerated or strangulated inguinal hernia: a retrospective study of 146 cases

Background Sutured inguinal hernia repairs are now uncommon, with evidence suggesting that those augmented with mesh are associated with a lower recurrence rate. We aimed to explore the suggestion that the established use of mesh does indeed lower the rate of operation for recurrence in a single National Health Service region. Method We collected retrospective Office of Population Censuses and Surveys coded data across one region of all primary and recurrent inguinal hernia repairs over 15 years (2004–2019). Electronic records of recurrent repairs were scrutinised to identify year and type of previous primary repair. Results In total, 7,234 repairs were performed during this time, of which 289 (4%) were for symptomatic recurrence. Operations for primary repair increased year on year (111 in 2004 to 402 in 2019). Frequency of operation for recurrent herniation declined with increasing use of mesh (8.8% in 2004 to 3.5% in 2019). The majority of repairs (73%) for recurrence were by an open approach. As opposed to an open mesh repair, a primary laparoscopic repair was associated with an earlier recurrence. Conclusions Inguinal hernia repairs are increasing in frequency but operations for later symptomatic recurrence following an open primary prosthetic mesh repair are not.

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Results of prosthetic mesh repair in the emergency management of the acutely incarcerated and/or strangulated groin hernias: a 10-year study

Hernia ◽

10.1007/s10029-015-1360-y ◽

2015 ◽

Vol 19 (6) ◽

pp. 909-914 ◽

Cited By ~ 39

Author(s):

S. S. Bessa ◽

M. R. Abdel-fattah ◽

I. A. Al-Sayes ◽

I. T. Korayem

Keyword(s):

Emergency Management ◽

Mesh Repair ◽

Prosthetic Mesh ◽

Groin Hernias ◽

Prosthetic Mesh Repair

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Results of prosthetic mesh repair in the emergency management of the acutely incarcerated and/or strangulated ventral hernias: a seven years study

Hernia ◽

10.1007/s10029-012-0938-x ◽

2012 ◽

Vol 17 (1) ◽

pp. 59-65 ◽

Cited By ~ 31

Author(s):

S. S. Bessa ◽

A. H. Abdel-Razek

Keyword(s):

Emergency Management ◽

Mesh Repair ◽

Prosthetic Mesh ◽

Ventral Hernias ◽

Prosthetic Mesh Repair

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Repair of incisional hernias - Experience with a combined fascial and prosthetic mesh repair

Journal of Shaheed Suhrawardy Medical College ◽

10.3329/jssmc.v1i2.12158 ◽

2012 ◽

Vol 1 (2) ◽

pp. 6-9

Author(s):

SM Amjad Hossain ◽

Khairun Nahar

Keyword(s):

Hospital Stay ◽

Mesh Repair ◽

Rectus Sheath ◽

Early Mobilization ◽

Prosthetic Mesh ◽

Biliary Surgery ◽

Total Period ◽

Incisional Hernias ◽

Prosthetic Mesh Repair

Repairs of incisional (ventral) hernia is one of the commonly performed operation in Bangladesh. This is a prospective study conducted in Shaheed Suhrawardy Hospital, Dhaka and a private Hospital (BDM Hospital) at Dhaka city from June 2001 to 31st May 2004 with a total period of 3 years and with total patients 43. Incisional hernias develop in upto 11% of surgical abdominal wounds with a possible recurrence, following repairs of 44%. There are several methods of repair of incisional hernias, including laparoscopic method of repair which is gaining popularity day by day. But we describe our experience with a combined fascial and prosthetic mesh repair. Of total 43 patients treated, 27 were female & 16 were male. The original operation was gynaecological in 27, bowel related surgery in 15 cases & biliary surgery in 4 patients. The incisions were midline in 31 patients, transverse in 10 patients and paramedian in 2 patients. The hernias were considered subjectively to be large in 21, medium in 16 and small in 6 patients. A parameter was compiled for each patient, noting intraoperative and post postoperative complications , post operative hospital stay and analgesic requirements. Post operative complications included seroma formation in 6 patients. One patient developed wound infection and require removal of the mesh 10 Control infection. Post operative hospital stay ranged from 2 to 17 days. Of total 43 patients 36 were available for follow- up. Seven drops from follow up. Follow up was from 6 months to 36 months. One (2.5%) of these patients complained of persistent lump and one reported persistent pain. Hernia recurrence in one patient (2.5%) , 35 was found to have no recurrence. We advocate these technique because it is applicable to all hernias,most of the mesh is behind the rectus sheath and has two points of fixation, it is relatively pain free allowing early mobilization has a less complication rate and low recurrence rate.DOI: http://dx.doi.org/10.3329/jssmc.v1i2.12158 Journal of Shaheed Suhrawardy Medical College Vol.1, No.2, December 2009 p.6-9

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Prosthetic mesh repair of large and recurrent diaphragmatic hernias

Surgical Endoscopy ◽

10.1007/s00464-007-9208-x ◽

2007 ◽

Vol 21 (5) ◽

pp. 737-741 ◽

Cited By ~ 21

Author(s):

Nir Lubezky ◽

Boaz Sagie ◽

Andrei Keidar ◽

Amir Szold

Keyword(s):

Mesh Repair ◽

Prosthetic Mesh ◽

Prosthetic Mesh Repair ◽

Diaphragmatic Hernias

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The Use of Prosthetic Mesh in the Emergency Management of Acute Incarcerated Inguinal Hernias

Surgical Innovation ◽

10.1177/1553350619828900 ◽

2019 ◽

Vol 26 (3) ◽

pp. 344-349 ◽

Cited By ~ 1

Author(s):

Jing Liu ◽

Zhiwei Zhai ◽

Jie Chen

Keyword(s):

Wound Infection ◽

Mesh Repair ◽

Intestinal Resection ◽

Laparoscopic Approach ◽

Wound Infection Rate ◽

Prosthetic Mesh ◽

Incarcerated Inguinal Hernia ◽

Inguinal Hernias ◽

Significant Difference ◽

Prosthetic Mesh Repair

Introduction. Tension-free hernia repair has been regarded as a gold standard treatment for selected inguinal hernias, but the use of prosthetic mesh in acute incarcerated inguinal hernias is controversial. Our study focused on evaluating the safety and efficacy of the prosthetic mesh repair for emergency cases. Methods. Patients with acute incarcerated inguinal hernias who underwent emergency prosthetic mesh repair during 2009 to 2014 at our department were included. Patient characteristics, operative approaches and results, and complications were retrospectively analyzed. Results. A total of 167 patients were included in our study. One hundred and twenty-two patients underwent open surgery while the remaining 45 patients underwent transabdominal preperitoneal laparoscopic approach. The hernia was indirect inguinal in 133 patients (79.6%), direct inguinal in 15 patients (9.0%), and femoral in 19 patients (11.4%). The overall wound infection rate of these patients was 3%. Nonviable intestinal resection was performed in 25 patients (8.4%), only 2 of whom underwent wound infection. Another 3 patients who developed wound infection had viable hernia content. There was no mesh-related infection. There was no statistically significant difference in wound infection rates between patients with viable hernia contents and those with nonviable contents ( P < .05). Conclusion. The use of the prosthetic mesh in the treatment of acute incarcerated inguinal hernia is safe and effective. Nonviable intestinal resection cannot be regarded as a contradiction of the mesh repair.

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