Sutureless Repair for Open Treatment of Inguinal Hernia: Three Techniques in Comparison.

antithrombotic therapy inguinal hernia postoperative complications sutureless repair

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
19 Jan 2024
Historique:
received: 03 01 2024
revised: 17 01 2024
accepted: 18 01 2024
medline: 26 1 2024
pubmed: 26 1 2024
entrez: 26 1 2024
Statut: epublish

Résumé

Currently, groin hernia repair is mostly performed with application of mesh prostheses fixed with or without suture. However, views on safety and efficacy of different surgical approaches are still partly discordant. In this multicentre retrospective study, three sutureless procedures, i.e., mesh fixation with glue, application of self-gripping mesh, and Trabucco's technique, were compared in 1034 patients with primary unilateral non-complicated inguinal hernia subjected to open anterior surgery. Patient-related features, comorbidities, and drugs potentially affecting the intervention outcomes were also examined. The incidence of postoperative complications, acute and chronic pain, and time until discharge were assessed. A multivariate logistic regression was used to compare the odds ratio of the surgical techniques adjusting for other risk factors. The application of standard/heavy mesh, performed in the Trabucco's technique, was found to significantly increase the odds ratio of hematomas (

Identifiants

pubmed: 38276095
pii: jcm13020589
doi: 10.3390/jcm13020589
pii:
doi:

Types de publication

Journal Article

Langues

eng

Déclaration de conflit d'intérêts

The authors declare no conflicts of interest.

Auteurs

Enke Baldini (E)

Department of Surgery, "Sapienza" University of Rome, 00161 Rome, Italy.

Eleonora Lori (E)

Department of Surgery, "Sapienza" University of Rome, 00161 Rome, Italy.

Carola Morini (C)

Department of Surgery, "Sapienza" University of Rome, 00161 Rome, Italy.

Luigi Palla (L)

Department of Public Health and Infectious Diseases, "Sapienza" University of Rome, 00161 Rome, Italy.

Diego Coletta (D)

United Hospitals of Northern Marche (AOORMN)-Pesaro, 61121 Pesaro, Italy.

Giuseppe M De Luca (GM)

Unit of Academic General Surgery "V. Bonomo", University of Bari, 70124 Bari, Italy.

Giorgio Giraudo (G)

Department of Surgery, Santa Croce e Carle Hospital (ASO) of Cuneo, 12100 Cuneo, Italy.

Sergio G Intini (SG)

Department of Surgery, S. Maria Della Misericordia Hospital, ASUFC of Udine, 33100 Udine, Italy.

Bruno Perotti (B)

Department of Surgery, Versilia Hospital of Viareggio, 55049 Camaiore, Italy.

Angelo Sorge (A)

Day Surgery P.O.S. Giovanni Bosco, 80144 Naples, Italy.

Giampaolo Sozio (G)

Department of Surgery, Alta Val D'Elsa Hospital of Poggibonsi-Siena, 53036 Poggibonsi, Italy.

Marco Arganini (M)

Department of Surgery, Versilia Hospital of Viareggio, 55049 Camaiore, Italy.

Elsa Beltrami (E)

Department of Surgery, Santa Croce e Carle Hospital (ASO) of Cuneo, 12100 Cuneo, Italy.

Daniele Pironi (D)

Department of Surgery, "Sapienza" University of Rome, 00161 Rome, Italy.

Massimo Ranalli (M)

Department of Surgery, Alta Val D'Elsa Hospital of Poggibonsi-Siena, 53036 Poggibonsi, Italy.

Cecilia Saviano (C)

Day Surgery P.O.S. Giovanni Bosco, 80144 Naples, Italy.

Alberto Patriti (A)

United Hospitals of Northern Marche (AOORMN)-Pesaro, 61121 Pesaro, Italy.

Sofia Usai (S)

Department of Surgery, "Sapienza" University of Rome, 00161 Rome, Italy.

Nicola Vernaccini (N)

Department of Surgery, S. Maria Della Misericordia Hospital, ASUFC of Udine, 33100 Udine, Italy.

Francesco Vittore (F)

Unit of Academic General Surgery "V. Bonomo", University of Bari, 70124 Bari, Italy.

Vito D'Andrea (V)

Department of Surgery, "Sapienza" University of Rome, 00161 Rome, Italy.

Priscilla Nardi (P)

Department of Surgery, "Sapienza" University of Rome, 00161 Rome, Italy.

Salvatore Sorrenti (S)

Department of Surgery, "Sapienza" University of Rome, 00161 Rome, Italy.

Piergaspare Palumbo (P)

Department of Surgery, "Sapienza" University of Rome, 00161 Rome, Italy.

Classifications MeSH