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Inguinal hernia repair with or without mesh in late adolescent males

Authors
 Sung Hyun Kim  ;  Hong Sung Jung  ;  Sejin Park  ;  Sang Sik Cho 
Citation
 ANNALS OF SURGICAL TREATMENT AND RESEARCH, Vol.100(4) : 246-251, 2021-04 
Journal Title
ANNALS OF SURGICAL TREATMENT AND RESEARCH
ISSN
 2288-6575 
Issue Date
2021-04
Keywords
Adolescent ; Chronic pain ; Inguinal hernia ; Recurrence ; Treatment outcome
Abstract
Purpose: Inguinal hernia repair is one of the most common treatments worldwide, but there are few studies about the use of mesh in late adolescent patients because hernias are rare in this group. This study aimed to evaluate the postoperative outcomes of hernia repair with and without mesh in late adolescent patients.

Methods: We retrospectively reviewed the data of 243 male patients aged between 18 and 21 years who underwent inguinal hernia repair at a single institution from January 2013 to December 2017. We distinguished 2 groups depending on the repair method; mesh (n = 121) and no-mesh (n = 122) groups. We compared the baseline characteristics, immediate postoperative outcomes, and recurrence and chronic pain rates between the 2 groups.

Results: There were no significant differences between the mesh and no-mesh groups on immediate postoperative outcomes (length of stay: 18.5 ± 8.9 days vs. 17.0 ± 6.0 days, P = 0.139; postoperative complications: 8.2% vs. 6.6%, P = 0.821) and 2-year recurrence rate (0.8% vs. 2.6%, P = 0.194). There was a significant difference in the chronic pain rate (9.0% vs. 1.7%, P = 0.023).

Conclusion: Using mesh for inguinal hernia repair in late adolescent male patients increases chronic postoperative inguinal pain.
Files in This Item:
T202103172.pdf Download
DOI
10.4174/astr.2021.100.4.246
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Sung Hyun(김성현) ORCID logo https://orcid.org/0000-0001-7683-9687
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/184559
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