Plication darn repair versus lichtensteinmesh hernioplasty for primary inguinal hernia
Other Title(s)
دراسة مقارنة لإصلاح الفتق الأربي الأولي بطريقة دارن و بطريقة وضع شبكة برولين (طريقة لشتنشتايت\ن)
Joint Authors
al-Aidaroos, Umar Abd al-Qadir Muhammad
Salih, Khaldun Abd al-Bari Qasim
Source
University of Aden Journal of Natural and Applied Sciences
Issue
Vol. 13, Issue 3 (31 Dec. 2009), pp.405-412, 8 p.
Publisher
Publication Date
2009-12-31
Country of Publication
Yemen
No. of Pages
8
Main Subjects
Topics
Abstract AR
یھدف البحث إلى المقارنة بین تلك الطریقتین من ناحیة نسبة حدوث ألام ما بعد العملیة، المضاعفات و كذلك نسبة حدوث ارتجاع للفتق.
ضم البحث سبعة و ستین مریضا یعانون من فتق اربي أولي أجریت عملیة إصلاح للفتق بطریقة دارن في 33مریضا و بطریقة وضع شبكة مصنوعة من البرولین في 34 مریضا.
ھذه الدراسة تمت في الفترة من أكتوبر 2005 إلى سبتمبر 2008 م.
تمت متابعة المرضى بإجراء فحوصات إكلينيكية لكل المرضى على مدى عامین .دلت النتائج على أن فترة إجراء الجراحة بطریقة دارن كانت أقصر من الأخرى بینما كانتا نسبة حدوث الآلام و فترة بقاء المریض بالمستشفى متساویتین في كلتا الطریقتین.
الفرق في العودة إلى العمل بشكل طبیعي لم تكن ذات أھمیة إحصائیة واضحة.
حدوث المضاعفات كان بنسبة 17 % بالنسبة لطریقة وضع شبكة البرولین مقارنة 3 % لطریقة دارن.
لم تكن ھناك أیة حدوث لحالة ارتجاع للمرض في كلتا الطریقتین.
نستخلص من ھذا البحث من أن نتائج كلتا الطریقتین متساویتین من حیث الآم ما بعد العملية، الشفاء، نسبة حدوث الارتجاع و لكن طریقة دارن تمت في وقت اقل و بمضاعفات اقل و علاوة على ذلك أقل تكلفة.
Abstract EN
The aim of this research is to compare two tension-free techniques of inguinal hernia repair: the plication darn repair (PDR) and Lichtenstein mesh hernioplasty (LMH), in terms of postoperative pain, complications and recurrence rates.
Sixty-seven patients with primary inguinal hernia were randomized to either plication darn repair PDR (group A) or Lichtenstein mesh hernioplasty LMH (group B) under spinal anesthesia in Aden hospitals and clinics over a period from October 2005 and September 2008.
Patients with bilateral inguinal hernias, recurrent hernias, complicated hernias and other inguinoscrotal pathologies were excluded from the study.
Follow-up was on the 7th and 12th postoperative day of the third month, and then yearly for two years.
The main outcome measures were postoperative pain, recovery, postoperative complications and recurrence.
Thirty-three patients had plication darn repair PDR (group A) while 34 patients had Lichtenstein mesh hernioplasty LMH (group B).
The mean operating time was longer for Lichtenstein mesh hernioplasty as compared to plication darn repair (70.1min vs.
62.6 min, p = 0.1).
Pain score and hospital stay was the same for both groups and return to normal activity was not significantly different, being 14.1 days for LMH and 13 days for PDR (p= 0.07).
Complication rate in group (B) was 17.6%, while in group (A) it was 3% (p=0.001).
There was no recurrence in either group after a mean follow-up of 2 years.
LMH and PDR were equivalent in terms of post-operative pain, recovery and recurrence rate.
However, the PDR was less time-consuming and has fewer postoperative complications.
Furthermore, in spite of Mesh repair for inguinal hernia is definitely the more popular version of the two but a well-constructed darn is equally effective and on the whole, a much less costly treatment option for inguinal hernias.
American Psychological Association (APA)
al-Aidaroos, Umar Abd al-Qadir Muhammad& Salih, Khaldun Abd al-Bari Qasim. 2009. Plication darn repair versus lichtensteinmesh hernioplasty for primary inguinal hernia. University of Aden Journal of Natural and Applied Sciences،Vol. 13, no. 3, pp.405-412.
https://search.emarefa.net/detail/BIM-286093
Modern Language Association (MLA)
al-Aidaroos, Umar Abd al-Qadir Muhammad& Salih, Khaldun Abd al-Bari Qasim. Plication darn repair versus lichtensteinmesh hernioplasty for primary inguinal hernia. University of Aden Journal of Natural and Applied Sciences Vol. 13, no. 3 (Dec. 2009), pp.405-412.
https://search.emarefa.net/detail/BIM-286093
American Medical Association (AMA)
al-Aidaroos, Umar Abd al-Qadir Muhammad& Salih, Khaldun Abd al-Bari Qasim. Plication darn repair versus lichtensteinmesh hernioplasty for primary inguinal hernia. University of Aden Journal of Natural and Applied Sciences. 2009. Vol. 13, no. 3, pp.405-412.
https://search.emarefa.net/detail/BIM-286093
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 410-411
Record ID
BIM-286093