ﺑﺮرﺳﯽ ﻣﯿﺰان ﻋﻮد ﻓﺘﻖﻫﺎي اﯾﻨﮕﻮﯾﻨﺎل ﻋﻤﻞ ﺷﺪه ﺑﻪ روش ﺗﺮﻣﯿﻢ ﺑﺎ ﻣﺘﺪ اﺻﻼح ﺷﺪه ﻣﺶ ﮔﺬاري از ﺳﺎل 1385 ﺗﺎ 1390

The Study of Inguinal Hernia Recurrence Treated with the Method of Modified Repair with Mesh between 2006-2011

زﻣﯿﻨﻪ و ﻫﺪف: اﻧﺘﺨﺎب روش ﺟﺮاﺣﯽ ﻣﻨﺎﺳﺐ ﺑﺮاي ﺗﺮﻣﯿﻢ ﻫﺮﻧﯽ اﯾﻨﮕﻮﯾﻨﺎل از ﻣﻮﺿﻮﻋﺎت ﻣﻮرد ﺑﺤﺚ در ﺟﺮاﺣﯽ ﻣﯽﺑﺎﺷﺪ و در اﯾﻦ ﻣﯿﺎن ﺷﻨﺎﺧﺖ ﮐﺎرآﯾﯽ و ﻋﻮارض ﻫﺮ ﯾﮏ از اﯾﻦ روشﻫﺎ ﺑﻪ وﯾﮋه در ﻣﻘﺎﯾﺴﻪ ﺑﺎ ﻫﻢ ﻣﯽﺗﻮاﻧﺪ ﮐﻤﮏ ﮐﻨﻨﺪه ﺑﺎﺷﺪ. ﻟﺬا ﻫﺪف از ﻣﻄﺎﻟﻌﻪ ﺑﺮرﺳﯽ ﻣﯿﺰان ﻋﻮد ﻓﺘﻖﻫﺎي اﯾﻨﮕﻮﯾﻨﺎل ﻋﻤﻞ ﺷﺪه ﺑﻪ روش ﺗﺮﻣﯿﻢ ﺑﺎ ﻣﺘﺪ اﺻﻼح ﺷﺪه ﻣﺶ ﮔﺬاري ﺑﻮده اﺳﺖ. ﻣﻮاد و روش ﻫﺎ: ﺑﯿﻤﺎران ﻣﺒﺘﻼ ﺑﻪ ﻫﺮﻧﯽ اﯾﻨﮕﻮﯾﻨﺎل ﮐﻪ ﺗﺤﺖ ﻫﺮﻧﯿﻮراﻓﯽ ﺑﻪ روش ﺗﺮﻣﯿﻢ ﺑﺎ ﻣﺶ ﭘﺮوﻟﻦ ﺑﺪون ﺑﺎز ﮐﺮدن ﻓﺎﺳﯿﺎي ﻋـﺮﺿﯽ ﻃﯽ ﺳﺎلﻫﺎي 1385 ﺗﺎ 1390 ﻗﺮار ﮔﺮﻓﺘﻨﺪ، وارد ﻣﻄﺎﻟﻌﻪ ﺷﺪﻧﺪ. ﻣـﻮارد ﻋـﻮد ﻫﺮﻧﯽ )ﺑﺎ ﻣﻌﯿـﺎر ﺷﮑﺎﯾﺖ ﺑﯿﻤﺎر از ﺑﺎزﮔﺸـﺖ ﻋﻼﺋﻢ در ﻇﺎﻫـﺮ و ﻣﻌﺎﯾﻨﻪ ﭘﺰﺷﮏ ﻣﻌﺎﻟﺞ و دﯾﺪن ﺑﺮآﻣـﺪﮔﯽ ﻧﺎﺣﯿﻪ در ﻧﮕﺎه و ﻣـﻮارد ﻗﺎﺑﻞ ﻟﻤﺲ ﻫﺮﻧﯽ در ﻣﻌﺎﯾﻨﻪ ﺑﺎ دﺳﺖ( ﺑﺎ ذﮐـﺮ ﺗﺎرﯾﺦ ﻋـﻮد ﺛﺒﺖ ﺷﺪ. ﺗﻤﺎم ﺑﯿﻤـﺎران ﻣـﺮاﺟﻌﻪ ﮐﻨﻨﺪه ﺑﺎ ﺷﮑﺎﯾﺖ ﻓﺘـﻖ اﯾﻨﻮﮔﯿﻨﺎل ﮐﻪ ﻣـﻮرد ﺟﺮاﺣﯽ ﺗﺮﻣﯿﻢ ﻓﺘﻖ ﻗـﺮار ﮔﺮﻓﺘﻨﺪ، ﻣـﺮد ﺑﻮده اﻧﺪ. دادهﻫﺎ ﺑﺎ ﻧﺮم اﻓﺰار 22 SPSS V. ﺗﺠﺰﯾﻪ و ﺗﺤﻠﯿﻞ ﮔﺮدﯾﺪ. از آزﻣﻮنﻫﺎي ﮐﺎي اﺳﮑﻮار و ﺗﯽ ﺗﺴﺖ ﺑﺮاي ﻣﺘﻐﯿﺮﻫﺎي ﮐﻤﯽ و ﮐﯿﻔﯽ اﺳﺘﻔﺎده ﺷﺪ. P-value ﮐﻤﺘﺮ از 0/05 ﻣﻌﻨﯽدار ﺗﻠﻘﯽ ﮔﺮدﯾﺪ. ﯾﺎﻓﺘﻪ ﻫﺎ: در اﯾﻦ ﻣﻄﺎﻟﻌﻪ ﺗﻌﺪاد 126 ﺑﯿﻤﺎر ﻣﺒﺘﻼ ﺑﻪ ﻓﺘﻖ اﯾﻨﮕﻮﯾﻨﺎل ﮐﻪ ﺗﺤﺖ ﻋﻤﻞ ﺟﺮاﺣﯽ ﺗﺮﻣﯿﻢ ﻓﺘﻖ اﯾﻨﮕﻮﯾﻨﺎل ﻗﺮار ﮔﺮﻓﺘﻨﺪ، ﺑﺮرﺳﯽ ﺷﺪﻧﺪ. ﻣﯿﺎﻧﮕﯿﻦ ﺳﻨﯽ ﺑﯿﻤﺎران ﻣﻮرد ﻣﻄﺎﻟﻌﻪ ﺑﺮاﺑﺮ 51/24±14/61 ﮐﻪ ﺣﺪاﻗﻞ 18 و ﺣﺪاﮐﺜﺮ 96 ﺳﺎل ﺑﻮدهاﻧﺪ. در ﭘﯿﮕﯿﺮي اﻧﺠﺎم ﮔﺮﻓﺘﻪ ﻣﺸﺨﺺ ﺷﺪ ﮐﻪ ﻫﯿﭻ ﯾﮏ از ﺑﯿﻤﺎران ﻣﻮرد ﻣﻄﺎﻟﻌﻪ دﭼﺎر ﻋﻮد ﻧﺸﺪهاﻧﺪ. ﻧﺘﯿﺠﻪ ﮔﯿـﺮي: ﺑﺮ اﺳـﺎس ﻧﺘﺎﯾﺞ اﯾﻦ ﻣﻄﺎﻟﻌـﻪ، ﻫﯿﭻ ﻣـﻮردي از ﻋـﻮد در روش ﺗﺮﻣﯿﻢ ﻓﺘﻖ ﺑﺎ ﻣﺘﺪ اﺻﻼح ﺷﺪه ﻣﺶ ﮔﺬاري دﯾﺪه ﻧﺸﺪه اﺳﺖ.

Introduction & Objective: The choice of surgical procedure for inguinal hernia repair is one of the topics discussed in surgery. In this regard, recognizing the efficacy and complications of each of these methods, especially in comparison with each other, can be helpful. Therefore, the aim of this study was to investigate an inguinal hernia recurrence treated with the method of modified repair with the mesh. Materials & Methods: Patients with inguinal hernia underwent inguinal hernia (neuralgia) by the method Proline mesh repair without opening the transversalis fascia cortex during 2006 to 2011, were included in the study. Hernia recurrence cases (with the criterion of a patient's complaining of the return of symptoms in the appearance and examination of the physician and seeing the protrusion of the area in the look and the palpable cases of hernia in the examination by hand) were recorded by the mention of the recurrence period. All patients referred to the inguinal hernia who had undergone an inguinal hernia repair surgery were male. Results: In this study, 126 patients with inguinal hernia underwent inguinal hernia repair surgery were examined. The mean age of the patients was 51.22 ± 14.61, which was at least 18 and was at most 96 years. The follow-up study showed no recurrence in the studied patients. Conclusions: According to the results of this study, no cases of recurrence in an inguinal hernia repair method have been seen with the method of modified repair with the mesh