A comparison of suture (Mayo`s) repair with Mesh (Prolene) repair for primary midline abdominal wall hernias in adults. | [Journal of Rawalpindi Medical College • 2004]

Author(s):

1. Waseem Iqbal Sheikh: Department of Surgery, Rawalpindi General Hospital and Rawalpindi Medical College, Rawalpindi, Pakistan

2. Usman Arshad: Department of Surgery, Rawalpindi General Hospital and Rawalpindi Medical College, Rawalpindi, Pakistan

3. Asaf Alavi: Department of Surgery, Rawalpindi General Hospital and Rawalpindi Medical College, Rawalpindi, Pakistan

4. Mohammad Alam: Department of Surgery, Rawalpindi General Hospital and Rawalpindi Medical College, Rawalpindi, Pakistan

5. Zubair Shah: Department of Surgery, Rawalpindi General Hospital and Rawalpindi Medical College, Rawalpindi, Pakistan

6. Zafar Hayat: Department of Surgery, Rawalpindi General Hospital and Rawalpindi Medical College, Rawalpindi, Pakistan

7. Muhammad Iqbal: Department of Surgery, Rawalpindi General Hospital and Rawalpindi Medical College, Rawalpindi, Pakistan

Abstract:

Background: To compare the outcome of Suture (Mayo) with Mesh repair and to establish a standard technique for treatment of Primary Ventral Hernias. Methods: The study was carried out in Surgical Unit II, Rawalpindi General Hospital. A total of 50 cases were studied and by blocked randomization, suture and mesh repairs were done. Recurrence rate and other complications were recorded and cumulative percentages of patients with recurrence or time were calculated. The univariate analysis of suture and mesh techniques on recurrence was done using Fisher Exact Text. Results: Among 50 patients, 42 were females and 8 males. 74% had less than 3 cm defect. Short term complications were less in suture group; seroma 4% vs. 8%, haematoma 0% vs. 4% and infection 4% vs. 24% but long term complications were higher in suture group with recurrence 12% vs. 4%. Conclusion: Mesh repair for primary midline ventral hernia, although having higher short term complications, still gives good results in the long term by having low recurrence rate. Infection control if reduced, can also improve the outcome. Good surgical technique, appropriate antibiotics and better quality meshes can further improve the outcome.

Page(s): 48-52

DOI: DOI not available

Published: Journal: Journal of Rawalpindi Medical College, Volume: 8, Issue: 2, Year: 2004

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