Comparison of Heavy- and Light-Weight Composite Mesh in Pain Reduction Among Patients with Inguinal Hernia: A 1-Year Randomized Control Trial
Journal Title: International Journal of Medical Research & Health Sciences (IJMRHS) - Year 2017, Vol 6, Issue 5
Abstract
Background: Inguinal hernia is commonly addressed complication among men and women. Surgical mesh repair is widely used as a treatment. Postoperative chronic pain is a major complication and concern, as it restricts the patient’s regular activities. Objective: To compare the heavy-weight polypropylene and the light-weight prolene mesh for the reduction of postoperative pain in patients undergoing Lichtenstein mesh repair of inguinal hernia. Methodology: This 1-year randomized study included 60 patients with inguinal hernia. They were divided into two equal groups (n=30)- light-weight prolene (SP-study group) and heavy-weight polypropylene mesh (RP-control group). Lichtenstein mesh repair surgery was performed on the patients according to the groups assigned. Postoperative pain was assessed based on visual analog score ranging from 0 to 10. Patients were followed up postoperative for the frst, second, and third week. Microsoft Excel was used to enter the data and categorical data were expressed as rates, ratios and percentages. Data were compared using Fishers exact test and chi-square test. Results: During the frst follow-up, all the patients in group SP reported moderate pain; however, 60% of patients in group RP reported pain (p<0.001). During second follow-up, majority of the patients (90%) in group SP reported mild pain compared to 26.67% patients in group RP (p<0.001). At the third follow-up, all the patients (100%) in group SP reported mild pain compared to 53.33% patients in group RP (p<0.001). Conclusion: The prolene light mesh signifcantly reduced the postoperative pain in patients undergoing Lichtenstein mesh repair for inguinal hernia as compared to heavy-weight mesh.
Authors and Affiliations
Gogate AS| Department of Surgery, Jawaharlal Nehru Medical College, Belgaum, Karnataka, India, Corresponding e-mail: gogateabhijit@gmail.com, Abhijit S Medikeri| Department of Surgery, Jawaharlal Nehru Medical College, Belgaum, Karnataka, India
Keywords
Related Articles
- EP ID EP12378
- DOI -
- Views 334
- Downloads 17
Comparative Analysis of Region of Interest of Different Sizes for Breast Density Classifcation
In medical feld, radiologists are more interested in region of interest (ROI) rather than whole image. ROI is a subpart of the image that contains very important information related to the diagnosis. In addition, ROI si...
PREVALENCE AND IMPACT OF PRIMARY HEADACHE DISORDERS AMONG STUDENTS AND WORKING POPULATION IN 18-25 YEARS AGE GROUP
Background: Headache or cephalalgia is defined as pain in the head. Headache is an extremely common symptom that may have a profound impact on peoples’ functioning and quality of life. According to International Clas...
Evaluation the index of ophthalmic arteries in diabetic patients with retinopathy compared to diabetic patients without retinopathy using color Doppler ultrasound
Diabetic retinopathy is the most common eye complication in diabetic patients that early detection of this complication is essential. The aim of this study was to evaluate ophthalmic artery index in diabetic retinopathy...
SYNCHRONOUS OCCULT METASTASISING DUODENAL CARCINOID AND OVARIAN MUCINOUS CYSTADENOCARCINOMA – MULTIPLE PRIMARY MALIGNANCIES IN THE SAME PATIENT
Gastrointestinal carcinoid tumors are uncommon neuroendocrine tumours that may be associated with synchronous or metachronous primary tumours of other histological type, most frequently colorectal adenocarcinomas. Prima...
Effectiveness of Educational and Behavioral Performance Evaluation Modelsin Students' Self-efficacy and Self-regulation
This research is a semi-experimental study ( pretest-posttest and follow-up design with a nonequivalent control group) and aims to investigate the impact of two evaluation models for students’ educational performance...