Felix Anand Raj, A (2014) A study of the use of light weight and heavy weight polypropylene mesh in the repair of anterior abdominal wall hernia. Masters thesis, Kilpauk Medical College, Chennai.
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Abstract
INTRODUCTION: Hernioplasty by prosthetic mesh has become gold standard for repair of anterior abdominal wall hernia. This study compares the post operative complications following open hernioplasty between the use of composite light weight and heavy weight polypropylene mesh. MATERIALS AND METHOD: 50 patients included in this study are equally grouped into light weight mesh group and heavy weight mesh group by randomisation. This study is conducted in prospective manner and single blinded. Patients were followed up 6 months post operatively and complications observed were compared and analysed. RESULT: In the heavy weight mesh group, the incidence of seroma formation is 20%, chronic post operative pain and wound infection is 12% each, hematoma formation is 8%, recurrence and sinus formation is 4% each. In the light weight mesh group, the incidence of seroma formation is 20%, chronic post operative pain and wound infection is 8% each, hematoma formation is 4% and no incidence of sinus formation or recurrence. There are no incidence of mesh infection or enterocutaneous fistula in either group. The analysis of data showed that complications observed are more in heavy weight mesh group although the difference in the incidence of complications between two groups are minimal. Statistical analysis of data showed that the difference in complication rates observed in this study between two groups is not significant. CONCLUSION: There is no significant difference in the use of light weight or heavy weight prosthetic mesh in the open repair of anterior abdominal wall hernia.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Light weight mesh ; Heavy weight mesh ; Post operative complications. |
| Subjects: | MEDICAL > General Surgery |
| Depositing User: | Devi S |
| Date Deposited: | 06 Jul 2018 00:35 |
| Last Modified: | 06 Jul 2018 00:36 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/8650 |
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