Comparing non-mesh and sutured inguinal hernia repairs in groin surgery: A randomized clinical trial

Susan  Alimohammadzadeh-Taher; Azita Shishegar; Salman  Dehkhoda; Ali  Karbalaeikhani; Narges Vasei

Annals of Military and Health Sciences Research

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Comparing non-mesh and sutured inguinal hernia repairs in groin surgery: A randomized clinical trial

Author(s):

Susan Alimohammadzadeh-Taher¹,

Azita Shishegar²,

Salman Dehkhoda³,

Ali Karbalaeikhani³,

Narges Vasei^4,*

1Department of Orthopedics, Emam Reza Hospital, AJA University of Medical Sciences, Tehran, Iran., Andorra

2Department of Surgery, Emam Reza Hospital, AJA University of Medical Sciences, Tehran, Iran., Andorra

3Department of Surgery, Emam Reza Hospital, AJA University of Medical Sciences, Tehran, Iran, Andorra

4Department of Surgery, Besat Hospital, AJA University of Medical Sciences, Tehran, Iran, Iran

Annals of Military and Health Sciences Research:Vol. 13, issue 1; e62673

Published online:Feb 27, 2015

Article type:Research Article

Received:Oct 20, 2014

Accepted:Jan 28, 2015

How to Cite:Susan Alimohammadzadeh-TaherAzita ShishegarSalman DehkhodaAli KarbalaeikhaniNarges VaseiComparing non-mesh and sutured inguinal hernia repairs in groin surgery: A randomized clinical trial.Ann Mil Health Sci Res.13(1):e62673.

Abstract

Materials and Methods: A total number of 322 cases of unilateral inguinal hernia in participants older than 18 years old were divided into 158 cases for mesh (Lichtenstein) and 164 for non- mesh (Bassini-McVay) hernia repair techniques. In order to compare the complications in the two groups, they were followed up from one to five years.

Results: During the study period, 12 and 7 participants were excluded from the mesh and non-mesh suture groups, leaving 146 and 157 participants in each group, respectively. The mean ages were 50.9 and 46.6 years old in mesh and sutured groups, respectively and mean follow up time was 2.9 years. Compared to mesh group, all complications were equal or less in non-mesh group, except for recurrence which had a statistically significant difference. Chronic post-operative pain, foreign body sensation, returning time to daily activities and costs were significantly less in non-meshed group (P = .0083).

Conclusion: Non-mesh suture technique still has its place in hernia repair. Mesh can be preserved for special conditions such as weak fascia wall, contralateral unsuccessful surgery, and recurrence, if suture technique is expensive or not easily available.

Keywords

: herniorrhaphy

methods

postoperative complications

treatment outcome

hernia

male

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