A Study of Outcomes of Conventional Open Hernia Repair with Self-Fixation Mesh versus Total Extra Peritoneal (Tep) Suture-Free Mesh Repair

Abstract

Ahsen Nazir Ahmed, Syed Saqib RAza Bokhari and Noor Fatima Ahsen

Study objective: To compare the outcomes of self-fixation mesh for open hernia repair with TEP suture free mesh repair in terms of patients with post-operative pain one month after surgery and recurrence rate of hernia.

Methods & Material: The study was conducted at Sharif Medical & Dental College, Lahore, Pakistan. 100 cases of inguinal hernia were operated. In 50 patients (Group A) open hernia repair was done. In another 50 cases (Group B) TEP mesh repair was done. Data was analyzed using IBM SPSS 24. Post-operative surgical outcomes in terms of patients with pain one month after surgery and hernia recurrence were studied in two groups. Descriptive statistics (frequencies and percentages) were calculated. Chi-square test of statistical significance for quantitative variables was applied.

Results: In group B only 1/50 patient suffered from post-operative pain one month after surgery as compared to 21 in Group A. Similarly incidence of hernia recurrence was 1/50 in Group B as compared to 8/50 in Group A. Both for post-operative pain and hernia recurrence there was a statistically significant difference between the two groups. In Group A number of patients with post-operative pain one month after surgery and those with hernia recurrence was significantly high than in Group B (p< 0.001, p< 0.05).

Conclusion: In terms of post-operative pain one month after surgery and incidence of hernia recurrence TEP suture free repair is a superior method of hernia repair as compared to conventional open repair

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