Article Type
Article
Abstract
Background: The research was conducted to compare the efficacy and postoperative outcomes of combined mesh and darn (CMD) repair versus mesh alone (MA) repair in adult patients with inguinal hernia, with a focus on recurrence rates and the occurrence of postoperative complications. In the realm of general surgical practice, open surgery remains a viable treatment option for primary inguinal hernia, alongside the availability of laparoscopic procedures. Materials and Methods: A prospective, randomized controlled trial was conducted of 404 adult patients with primary inguinal hernias undergoing surgery in selected hospitals between February 2020 and January 2023. Comparative parameters were length of hospital stay, time to recovery for activity, complications after the operation and hernia recurrence rates. Patients were randomly allocated into two groups: 202 patients were operated for CMD repair (Group 1) and 202 patients for MA repair (Group 2). All patients were followed during 3 years. Results: The mean operative time of MA repair was 62.2 minutes, which was significantly shorter than the mean operative time of CMD repair (72.9 minutes). Both groups took about three weeks to recover and return to work. The postoperative complications were occurred in 15 of patients (7.4%) and hernia recurrence was occurred in 4 of patients (2.0%) in Group 2. On the other hand, 16 patients (7.9%) in the CMD group had postoperative problems but no hernia recurrence was recorded. Hospital length of stay and analgesic consumption following surgery were similar between the groups. Conclusion: At 3 years of follow-up, the recurrence rate in CMD repair was lower than that of MA repair. Nevertheless, both groups had similar rates of morbidities, length of hospital stays and recovery time. Operative times for CMD repair were slightly longer than those for repair for MA.
Keywords
Inguinal hernia adult, darn repair, recurrence., primary groin hernia, repair mesh
Recommended Citation
Hakkak, Samer Makki Mohamed Al
(2025)
"Comparative Study of Combined Darn and Mesh Vs Mesh-Only Repair in the Management of Primary Adult Male Inguinal Hernia,"
Muthanna Medical Journal: Vol. 12:
Iss.
3, Article 11.
Available at:
https://muthmj.mu.edu.iq/journal/vol12/iss3/11
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
