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العنوان
Evaluation of Using Partial Absorbable Mesh (ULTRA-PRO) Versus Conventional (POLYPROPYLENE) Mesh in Inguinal Hernioplasty /
المؤلف
Mashaly, Sameh Mohamed Ali.
هيئة الاعداد
باحث / سامح محمد علي مشالي
مشرف / ايمن احمد البتانوني
مناقش / حمدي عبد الهادي محمد
مناقش / محرم عبد السميع محمد
الموضوع
General Surgery.
تاريخ النشر
2018.
عدد الصفحات
111 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة
تاريخ الإجازة
1/3/2018
مكان الإجازة
جامعة المنوفية - كلية الطب - الجراحة العامة
الفهرس
Only 14 pages are availabe for public view

from 111

from 111

Abstract

Inguinal hernia repair is one of the most frequently performed operations in general surgery. Tension-free mesh repair is the golden standard in inguinal hernia surgery because of its low recurrence rates and postoperative pain by comparison with suture techniques.
Implantation of conventional heavy weight non-absorbable Prolene mesh, which is the commonly used prosthesis in hernia repair is usually associated with inflammatory reaction which also leads to the formation of a rigid scar plate with loss of abdominal wall pliability and changes in abdominal wall compliance. Patients started to complain of a foreign body sensation, sensation of stiffness and chronic post-operative pain.
A modern invention in lightweight partially absorbable mesh is (Ultrapro ®) with a monofilament structure, deceased weight and larger pore size which demonstrated reduced inflammation and improved integration in surrounding tissues. Also it is associated with decreased chronic post-operative pain and improved abdominal wall compliance while providing adequate strength.
Our study is a clinical prospective randomized comparative study that was conducted on A total of 40 adult male patients with uncomplicated inguinal hernia who were randomized into two equal groups to evaluate the use of partial absorbable mesh (Ultrapro ®), compared to non-absorbable mesh (polypropylene), in open inguinal hernia repair. A detailed history was taken from each patient, clinical
examination was done and intraoperative findings were noted and patients were followed for 9 months.
Within the limitation of this study the following conclusions can be drawn:
• Inguinal hernia is commonly presented in the middle age group.
• chronic pain is a long-term complication following groin hernia repair.
• Light weight mesh and standard prolene mesh usage in Lichtensteins repair of inguinal hernia are both comparable and effective.
• Early pain and wound infection are not affected by the type of mesh used.
• The use of partial absorbable (Ultrapro ®) mesh in Lichtenstein inguinal hernia repair significantly reduces the incidence of chronic pain compared to non-absorbable (polypropylene) mesh.
• Light weight (Ultrapro ®) mesh is better than heavy weight (polypropylene) mesh in Lichenstein’s hernioplasty whenever its cost is affordable.