ABSTRACT
To compare the complications of Mayo's technique of repair of para umbilical hernia with mesh repair.This study was conducted in the Department of Surgery at Nishtar Hospital, Multan. Fifty patients were recruited into study randomly. Two groups of 25 each, were made. Routine investigations were performed. All patients underwent surgery under general anaesthesia. Standard technique of repair was used in either groups. Complications were noted on a proforma designed for that purpose. Spearman's rank correlation coefficient test. A 'p' value of<0.05 was considered significant. Ten [20%] complications were observed. The main complications were wound haematoma in four patients [8.0%], wound infection in two patients [4%], seroma formation in two patients [4%], sinus formation in one patient [2.0%], mesh infection in one patients [2.0%] and no recurrence in any patients. Out of these 10 patients who developed complications, eight [16.0%] were in group-I [Mayo's technique] and two [4.0%] were in group-II [Mesh repair]. All were managed conservatively. Mesh repair found to be superior to the Mayo's technique in terms of complications
ABSTRACT
Objective: The purpose of the study is to compare the rate of complications in Mayo`s repair with mesh repair. [Preperitoneal approach]
Design: Comparative study
Place and Duration of Study: Nishtar Hospital Multan during the period of January 2001 to August 2003
Patients and Methods: Only patients with fully reducible hernias were included in the study. Unfit patients having serious cardiac and respiratory illness, patients with obstructive and strangulated paraumbilical hernia were excluded from study. Two groups comprising of 25 patients each were made on random basis and operated [Mayo`s repair in-group one and mesh repair in-group two] randomly by surgical team. A separate file was kept for each patient. A detailed history and full physical examination and various investigations of all patients were carried out. Later on, operative findings and complications were also noted
Results: The age of the patients ranges from 20 to 60 years [mean 40 years]. 80% were female while remaining 20% were male The commonest mode of presentation was swelling in the umbilical region [100%] and dragging pain in the umbilical region during heavy working [60%]. On physical examination positive cough impulse was present in [80%]. There was significant difference between postoperative complications in two groups. As seroma formation [8% vs 0%], wound infection [8% vs 0%], wound haematoma [12% vs 4%] was seen more in group I. However mesh infection was present in-group 2 only
Conclusion: It is concluded that recurrences after open tension free repair are rare, complications are few, and the operation is simple to perform. Optimally hernias should be repaired using mesh repair