Comparison between Single Mesh and Double Mesh Placement in Huge Inguinal Hernia

Document Type : Original Article

Authors

1 Department of Surgery, Ministry of Health, Egypt

2 Department of General Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt

10.21608/ijma.2021.56574.1239

Abstract

Background: Recurrence after surgical treatment of inguinal hernia is still a challenge facing surgeons during their daily practice.
Aim of the Work: The current trial aims to compare single and double mesh placement in huge inguinal hernia repair.
Patients and Methods: 40 cases were involved in the study. They were classified into two equal groups according to the operative technique [A for single mesh and B for double mesh]. The study's candidates were examined and investigated thoroughly regarding their complaint, the presence of a clinically detectable hernia in the inguinal region, its size, characters, onset, duration, and associated symptoms. Then, all were examined clinically and prepared for surgical intervention after lab investigations.
Results: The mean ages were 56 and 56.9 years for groups A and B. Both groups were comparable to body mass index, risk factors, type of hernia, hernia side, and intraoperative blood loss. There was a significant decrease in operative time in group A when compared to group B [54.50 ± 8.256 vs. 61.25 ± 6.664 minutes, respectively]. The overall rate of complications was lower in group B when compared to group A [30.0% vs. 50.0%, respectively]. Complications in group A were seroma [10.0%], wound infection [5.0%], scrotal edema [25.0%], and chronic pain [10.0%]; while in group B, seroma [10.0%], scrotal edema [5.0%], chronic pain [15.0%]. Recurrence was confined to group A, and reported to three patients [15.0%]. However, the difference was statistically nonsignificant.
Conclusion: Double mesh technique is a safe and efficacious approach for managing huge inguinal hernia. It is associated with lower rate of recurrence than the single mesh approach with comparable operative time, complications, and outcomes. 

Keywords

Main Subjects