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Chronic or long-term pain following open incisional hernia repair is poorly documented. Traditionally, studies of incisional hernia repair have focussed only on short-term complications (infection, haematoma), major morbidity, hospital stay, and recurrence. Chronic pain (defined as pain persisting more than 3 months postoperatively [1]) has not been perceived as a significant issue, a similar situation...
Background The use of alloplastic mesh is now commonplace in hernia repair. However, in developing countries, cheaper alternatives to commercial mesh are required due to the high associated cost. Whilst nylon mosquito net mesh has been trialled previously, this study aimed to assess the use of polyester mosquito net mesh in tension-free inguinal hernia repair in Ghana. Methods All patients undergoing...
Purpose To compare patients over 70 years old with those under 50 years old undergoing inguinal hernia repair. Patients and methods Fifty patients aged >70 years (group A) and 50 patients age <50 years (group B) underwent local anaesthetic mesh repair. The mean age for group A was 77.2 years (range 70–85) and for group B it was 40.2 years (range 17–49). There were 46 patients with comorbidities...
A consecutive series of 255 women with primary groin hernias repaired electively over a five-year period, was reviewed. There were 271 hernias; the majority, 182 (67%) were indirect inguinal hernias, 35 (14%) were direct, and 54 (20%) were femoral. There were no major post-op complications and no recurrences. Most patients presented with a swelling but in 13 cases there was pre-operative discomfort...
Background: Umbilical hernias are a common surgical problem with a high recurrence rate using conventional suture techniques. This prospective study examined the feasibility of tension-free mesh repair as a day case using local anaesthetic (LA) for all primary umbilical hernias. Method: Fifty-four patients (eight women) were operated on; 49 using LA. Through a periumbilical skin incision the margins...
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