Prosthetic Mesh Repair In Obstructed Inguinal Hernia: A Research Analysis

Abstract

Introduction: Inguinal hernia is a commonly encountered urgent condition in surgical clinics. An abdominal wall hernia is a protrusion of the abdominal tissues or organs through a weakness in the muscular structure of the wall of the abdomen. Inguinal and femoral hernias are usually classified together as groin hernias. Objective of the study: The main objective of the study was to compare the outcomes of different surgical techniques performed for inguinal hernia, and to evaluate the effect of prosthetic mesh repair in obstructed inguinal hernia. Methodology of the study: This retrospective study was performed with 70 patients who had been admitted to our hospital’s emergency department between 2016 and 2017 to undergo surgery for a diagnosis of obstructed inguinal hernia. Results: The patients were divided into two groups based on the applied surgical technique. In Group 1, it was observed that eight of the patients had wound infections, while two had hematomas, four had seromas, and one had relapse. In Group 2, one of the patients had a wound infection, while three had hematomas, one had seroma, and none had relapses. In Group 3, it was observed that one of the patients had wound infections, while one had a hematoma, one patient had seroma, and none had relapses. In Group 4, seven of the patients had wound infections, while one had a hematoma, three had seromas, and one had a relapse. Conclusion: There were no significant differences between the two groups with respect to wound infection, seroma, hematoma, or relapse (p>0.05). In urgent groin hernia repair surgeries, polypropylene mesh can be safely used even in the patients undergoing bowel resection.