Mohammed A Bawahab, Walid M Abd El Maksoud.
Evaluation of chronic postoperative pain after hernia repair using self fixating mesh for management of primary inguinal hernia in adult males.
Pak J Surg Jan ;29(3):159-64.

Objective:Th e aim of this study was to evaluate the self gripping mesh in treating primary inguinal hernia in adult males for chronic post operative pain. Study design: Prospective clinical study Sett ing and duration:Th is study was conducted in Aseer Central Hospital and Abha Private Hospital, Abha, Saudi Arabia, from October 2011 to September 2012. Methedology: Forty patients underwent open Lichtenstein hernia repair with self fi xating mesh. Post operative pain as measured by a modifi ed visual analogue scale (VAS) was the primary study endpoint. It was measured at day 0 (base line) and at 3, 6, and 12 months (at rest and with movement). Recurrence, time to regain domestic and work activities, early post operative complications as well as operative time were also documented. Surgeons’ opinion as regard handling and fi xation quality was also reported. Results: No recurrence was encountered in this study. Visual Analog Scale showed very low results. At rest, it was1.93±1.67 aft er 6 months and 0.43±0.68 aft er 12 months. With movement, Visual Analog Scale was 2.25±1.79 aft er 6 months and 0.53±0.68 aft er 12 months. Th e operative time was 41.35 ± 7.22 minutes. Time to return to domestic activity was 1.40± 0.55 days while time to return to work activity was 6.23± 1.44 days. Th e surgeons opinion showed improvement as regards handling and fi xation quality with time. Conclusion: Upto one year follow up, the use of self fi xating semi absorbable mesh has good results as regards chronic post operative pain and recurrence.

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