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Primary suture repair increases the risk for recurrence, the fact of benefit of mesh repair in elective situations is documented, and many studies have reported beneficial outcomes of mesh hernioplasty in emergency situations. Still there is controversy of using such grafts in presence of intestinal resection.
Patients with acutely incarcerated hernias (with small intestine contents) who underwent polypropylene mesh hernioplasty were included in this prospective study from June 2005 through Jan. 2011, patients were categorized into 2 groups who required intestinal resection anastomosis (group I)or not (group II).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| mesh repair | Active Comparator | MESH HERNIA REPAIR WHEN REqUIRE INTESTINAL RESECTION |
|
| mesh repair without intestinal resection | Active Comparator | mesh repair of strangulated hernia without resection |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SURGERY | Other | REPAIR OF STRANGULATED HERNIA with intestinal resection |
|
| Measure | Description | Time Frame |
|---|---|---|
| wound infection | 5 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| operative time | the time from skin incision up to skin closure | 3hours |
| morbidity | the perioperative complications | 5 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| ramadan ellithy, md | Mansoura University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mohamed Abdellatif | Al Mansurah | Mansoura | 35516 | Egypt |
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| ID | Term |
|---|---|
| D007239 | Infections |
| D012008 | Recurrence |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D013514 | Surgical Procedures, Operative |
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| mesh repair | Other | mesh repair of strangulated hernia without resection |
|
|
| recurrence of the hernia | Recurrence of the hernia was defined as an apparent swelling or a palpable defect at the previous surgery site detected clinically or radiologically by ultrasound if needed | 6months |