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

Authors :
Enke Baldini
Eleonora Lori
Carola Morini
Luigi Palla
Diego Coletta
Giuseppe M. De Luca
Giorgio Giraudo
Sergio G. Intini
Bruno Perotti
Angelo Sorge
Giampaolo Sozio
Marco Arganini
Elsa Beltrami
Daniele Pironi
Massimo Ranalli
Cecilia Saviano
Alberto Patriti
Sofia Usai
Nicola Vernaccini
Francesco Vittore
Vito D’Andrea
Priscilla Nardi
Salvatore Sorrenti
Piergaspare Palumbo
Source :
Journal of Clinical Medicine, Vol 13, Iss 2, p 589 (2024)
Publication Year :
2024
Publisher :
MDPI AG, 2024.

Abstract

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 (p = 0.014) and, most notably, of acute postoperative pain (p < 0.001). Among the clinical parameters, antithrombotic therapy and large hernia size were independent risk factors for hematomas and longer hospital stay, whilst small hernias were an independent predictor of pain. Overall, our findings suggest that the Trabucco’s technique should not be preferred in patients with a large hernia and on antithrombotic therapy.

Details

Language :
English
ISSN :
20770383
Volume :
13
Issue :
2
Database :
Directory of Open Access Journals
Journal :
Journal of Clinical Medicine
Publication Type :
Academic Journal
Accession number :
edsdoj.64e0a37f83c4ef48af620a1cf6bb4d5
Document Type :
article
Full Text :
https://doi.org/10.3390/jcm13020589