الفهرس 
Inguinal canalOnly 14 pages are availabe for public view
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Abstract
The ideal outcome of inguinal hernia surgery is to provide a repair that is free from recurrence, pain and infection with minimal scarring and with improvement in patient’s quality of life. The introduction of meshes helped to achieve a recurrence rate of less than 5%.Most hernia repairs are performed with a degree of fixation. Some complications in hernia repair are caused through invasive fixation of the mesh. The aim of the present work was to compare theself gripping light weight polyester (parietex® progrip®) mesh with the conventional heavy weight (polypropylene®) mesh in tension free Lichtenstein inguinal hernia repair regarding to mesh fixation time, operative time, technical difficulties and complications such as seroma, hematoma, wound infection, mesh complications, orchitis, testicular atrophy, pain and recurrence. The current study is a prospective randomized controlled study which included twenty six adult male patients complaining of primary uncomplicated inguinal hernia. They were admitted into the Surgical Oncology Unit at General Surgery Department in Tanta University Hospital. Randomization was planned that the first 10 cases (group A) were subjected to inguinal hernia repair by polypropylene®mesh. Inguinal hernia repair by self gripping (Parietex® Progrip®) mesh was performed to the subsequent cases (group B) till the end of the study. The ages of the studied patients in group A ranged from22.0 – 63.0years with a median of 47.5 years. While in group B it ranged from20.0 – 61.0years with a median of 41 years. The mean BMI for group A was29.20±4.13 Kg/m2and for group B was29.44±4.41Kg/m2. In group A: 3 patients (30%) had direct hernia and 7 patients (70%) had indirect hernia. While, in group B: 2 patients of the studied cases (12.5%) had direct hernia and 14 patients (87.5%) had indirect hernia, while There was no statistical significant difference between both groups as regard age, hernia side and type. While, the mesh fixation time was significantly shorter in group B (3 -7 minutes) than in group A (13-18 minutes) with p<0.001 and the overall operative time was also significantly shorter in group B(40-55 minutes) than in group A (55-75 minutes) with p<0.001. There was no statistical significant difference between two groups as regards to early post operative complications as seroma, hematoma, wound infection and scrotal edema. As regard to the post operative complications there were no reported cases of mesh complications in terms of shrinkage, migration fragmentation, infection or recurrence in both groups during the follow up period.There was no significant differencebetween both groups as regard postoperative pain measured by VAS and need for analgesia.