The usage of oblique external flap instead of mesh for the repair of the channel in inquinal hernia's case

Abstract

Inguinal hernia is one of the most common surgical-related diseases that occur at different ages and has different surgical methods for treatment. One of the problems of this surgery is repairing the channel, which mostly uses mesh. Of course, it should be noted that the installation of the mesh is associated with some complications. In these cases, repairing the channel using the external oblique fascia flap instead of using mesh can be a good solution. This method, while having fewer side effects, can also be economically viable. Considering that according to our findings, the study conducted as a clinical trial with the aim of evaluating the usage of oblique external flap instead of mesh for the repair of the channel in inguinal hernia's in our region is limited, so the purpose of this study is the use of external oblique fascia flap to repair the channel in the inguinal hernia instead of mesh. Materials and Method: Fifty patients with inguinal hernia were included in the study and randomly divided into two groups of twenty-five. One group underwent external oblique fascia flap and the other group underwent mesh surgery. All patients were followed for complications during and after surgery, on the first day after surgery and in the first week after surgery, in the first, sixth and twelfth months after surgery. The results were analyzed by statistical methods. Results: The mean ± SD of age was 49.60 ± 10.48 in the group of patients with external oblique method and 54.04 ± 10.33 in the group of patients with mesh method (p = 0.138). Foreign body sensation was reported in 28% of patients in the external oblique group and in 18% of patients with mesh placement (p = 0.002). Hematoma was reported in the first week in 6% of patients with external oblique method and 15% of patients with mesh placement (p = 0.010). The report of pain in the time after surgery, six months after surgery and one year after surgery was lower in patients in the external oblique group than in patients with mesh placement (p <0.05). There was no significant difference between the two groups in terms of disease recurrence rate, infection and mortality over a period of six months and one year (p <0.05).