Sutureless Repair for Open Treatment of Inguinal Hernia: Three Techniques in Comparison
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 fi...
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-01-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/13/2/589 |
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| author | 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 |
| author_facet | 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 |
| author_sort | Enke Baldini |
| collection | DOAJ |
| description | 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 (<i>p</i> = 0.014) and, most notably, of acute postoperative pain (<i>p</i> < 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. |
| first_indexed | 2024-03-08T09:51:07Z |
| format | Article |
| id | doaj.art-a64e0a37f83c4ef48af620a1cf6bb4d5 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-08T09:51:07Z |
| publishDate | 2024-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-a64e0a37f83c4ef48af620a1cf6bb4d52024-01-29T14:03:30ZengMDPI AGJournal of Clinical Medicine2077-03832024-01-0113258910.3390/jcm13020589Sutureless Repair for Open Treatment of Inguinal Hernia: Three Techniques in ComparisonEnke Baldini0Eleonora Lori1Carola Morini2Luigi Palla3Diego Coletta4Giuseppe M. De Luca5Giorgio Giraudo6Sergio G. Intini7Bruno Perotti8Angelo Sorge9Giampaolo Sozio10Marco Arganini11Elsa Beltrami12Daniele Pironi13Massimo Ranalli14Cecilia Saviano15Alberto Patriti16Sofia Usai17Nicola Vernaccini18Francesco Vittore19Vito D’Andrea20Priscilla Nardi21Salvatore Sorrenti22Piergaspare Palumbo23Department of Surgery, “Sapienza” University of Rome, 00161 Rome, ItalyDepartment of Surgery, “Sapienza” University of Rome, 00161 Rome, ItalyDepartment of Surgery, “Sapienza” University of Rome, 00161 Rome, ItalyDepartment of Public Health and Infectious Diseases, “Sapienza” University of Rome, 00161 Rome, ItalyUnited Hospitals of Northern Marche (AOORMN)—Pesaro, 61121 Pesaro, ItalyUnit of Academic General Surgery “V. Bonomo”, University of Bari, 70124 Bari, ItalyDepartment of Surgery, Santa Croce e Carle Hospital (ASO) of Cuneo, 12100 Cuneo, ItalyDepartment of Surgery, S. Maria Della Misericordia Hospital, ASUFC of Udine, 33100 Udine, ItalyDepartment of Surgery, Versilia Hospital of Viareggio, 55049 Camaiore, ItalyDay Surgery P.O.S. Giovanni Bosco, 80144 Naples, ItalyDepartment of Surgery, Alta Val D’Elsa Hospital of Poggibonsi—Siena, 53036 Poggibonsi, ItalyDepartment of Surgery, Versilia Hospital of Viareggio, 55049 Camaiore, ItalyDepartment of Surgery, Santa Croce e Carle Hospital (ASO) of Cuneo, 12100 Cuneo, ItalyDepartment of Surgery, “Sapienza” University of Rome, 00161 Rome, ItalyDepartment of Surgery, Alta Val D’Elsa Hospital of Poggibonsi—Siena, 53036 Poggibonsi, ItalyDay Surgery P.O.S. Giovanni Bosco, 80144 Naples, ItalyUnited Hospitals of Northern Marche (AOORMN)—Pesaro, 61121 Pesaro, ItalyDepartment of Surgery, “Sapienza” University of Rome, 00161 Rome, ItalyDepartment of Surgery, S. Maria Della Misericordia Hospital, ASUFC of Udine, 33100 Udine, ItalyUnit of Academic General Surgery “V. Bonomo”, University of Bari, 70124 Bari, ItalyDepartment of Surgery, “Sapienza” University of Rome, 00161 Rome, ItalyDepartment of Surgery, “Sapienza” University of Rome, 00161 Rome, ItalyDepartment of Surgery, “Sapienza” University of Rome, 00161 Rome, ItalyDepartment of Surgery, “Sapienza” University of Rome, 00161 Rome, ItalyCurrently, 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 (<i>p</i> = 0.014) and, most notably, of acute postoperative pain (<i>p</i> < 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.https://www.mdpi.com/2077-0383/13/2/589inguinal herniasutureless repairpostoperative complicationsantithrombotic therapy |
| spellingShingle | 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 Sutureless Repair for Open Treatment of Inguinal Hernia: Three Techniques in Comparison Journal of Clinical Medicine inguinal hernia sutureless repair postoperative complications antithrombotic therapy |
| title | Sutureless Repair for Open Treatment of Inguinal Hernia: Three Techniques in Comparison |
| title_full | Sutureless Repair for Open Treatment of Inguinal Hernia: Three Techniques in Comparison |
| title_fullStr | Sutureless Repair for Open Treatment of Inguinal Hernia: Three Techniques in Comparison |
| title_full_unstemmed | Sutureless Repair for Open Treatment of Inguinal Hernia: Three Techniques in Comparison |
| title_short | Sutureless Repair for Open Treatment of Inguinal Hernia: Three Techniques in Comparison |
| title_sort | sutureless repair for open treatment of inguinal hernia three techniques in comparison |
| topic | inguinal hernia sutureless repair postoperative complications antithrombotic therapy |
| url | https://www.mdpi.com/2077-0383/13/2/589 |
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