A prospective study of a modified minimal open preperitoneal (MOPP) mesh hernioplasty for bilateral, complex & recurrent groin hernias.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 12
Abstract
Background: Primary aim of this study was to assess the effectiveness & outcomes of minimal open preperitoneal (MOPP) mesh hernioplasty in management of bilateral, giant, pantaloon and recurrent groin hernias. Method: A prospective study of our modified minimal open preperitoneal (MOPP) mesh hernioplasty for treatment of bilateral, giant, pantaloon & recurrent inguinal hernias was conducted in Department of General Surgery, Gandhi Medical College, Bhopal from January 2014 to July 2017. 40 patients with 37 bilateral and 3 unilateral hernias making total 77 hernia sites including 6 recurrent hernias (after Lichtenstein repair) were operated by this approach in our study. Patient demographics, operating time, postoperative complications, pain scores, hospital stay and recurrence rates of patients were evaluated. Results: Of the 40 patients 11 cases were of complex hernias. Mean operating time was 84.62 (40-135) minutes and average hospital stay was 5.15 (3-9) days. We did not encounter any intraoperative complication. 4 (10%) patients had postoperative complications. One patient developed seroma which resolved spontaneously. Two patient developed superficial wound infection. One patient developed pain in lower abdomen persisting at 1 months but it didn’t required any medication and improved subsequently. No recurrence was observed in our study at 1-3 yrs follow up. Conclusions: We conclude that minimal open preperitoneal (MOPP) mesh hernioplasty is a safe and effective technique for bilateral, complex and recurrent groin hernias.
Authors and Affiliations
Prof Dr. Pradeep Saxena
Keywords
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