Department of Surgery, Postgraduate Medical Institute, Lady Reading Hospital, Peshawar, Pakistan.
Saudi J Gastroenterol. 2010 Jan-Mar;16(1):8-13. doi: 10.4103/1319-3767.58761.
BACKGROUND/AIM: To compare outcomes of light and heavy weight mesh for repair of inguinal hernia.
This study was conducted at the Department of Surgery; Lady Reading Hospital, Peshawar from January 1, 2007 to December 31, 2008. Patients were divided into two groups based on the type of mesh implanted for inguinal hernia repair. Group 1 included patients in whom light weight composite (VyproII ) mesh is implanted: Group 2 included patients in whom polypropylene (Prolene R ) mesh is implanted. Data concerning the complications and post operative pain in the perioperative and postoperative period were collected and analyzed. Categorical data were presented as percentages with 95% confidence intervals and compared using a chi2 test and P 0.05 were considered significant.
Following allocation and exclusion of violating cases, 111 patients in group 1 and 138 patients in group 2 were analyzed. The mean age in group 1 was 38.20 +/- 13.34 years and in group 2 was 39.55 +/- 13.70 (P = 0.434). In group 1, hematoma formation was observed in four cases (3.6%), while it was observed in six cases (4.2%) in group 2 (P = 0.766). During the entire study, ten patients in all developed urinary retention, three of which required transient catheterization. One year post operation, there was a recurrence in only five cases overall, while only two patients complained of pain (P = 0.826).
The frequency of postoperative pain and complications in patients was similar in both groups.
背景/目的：比较轻重量和重重量网片修补腹股沟疝的结果。
本研究于 2007 年 1 月 1 日至 2008 年 12 月 31 日在白沙瓦莱迪女士医院外科进行。根据用于腹股沟疝修补的网片类型，将患者分为两组。第 1 组包括植入轻重量复合（VyproII）网片的患者：第 2 组包括植入聚丙烯（Prolene R）网片的患者。收集并分析围手术期和术后期间并发症和术后疼痛的数据。使用卡方检验和 P 值比较分类数据，以百分比表示，95%置信区间，并认为 P 值<0.05 有统计学意义。
在分配和排除违反病例后，第 1 组 111 例和第 2 组 138 例进行了分析。第 1 组的平均年龄为 38.20 ± 13.34 岁，第 2 组为 39.55 ± 13.70 岁（P = 0.434）。第 1 组有 4 例（3.6%）发生血肿，第 2 组有 6 例（4.2%）（P = 0.766）。在整个研究过程中，共有 10 例患者出现尿潴留，其中 3 例需要短暂导尿。术后 1 年，共有 5 例患者复发，只有 2 例患者诉疼痛（P = 0.826）。
两组患者术后疼痛和并发症的频率相似。
