Mesh
Conditions
Brief summary
Lumbar incisional hernia occurs after lumbar incision which is difficult to manage due deficient fascial aponeurosis and a proximity of the bonny boundaries, namely the iliac crest and the last rib. There is a need to evaluate sandwich mesh application, preperitoneal and onlay mesh, in the treatment of lumbar incisional hernia.
Interventions
the hernia repair include using double mesh onlay and sublay
Sponsors
Study design
Eligibility
Inclusion criteria
* • Patients older than 18 years old with primary inguinal hernia.
Exclusion criteria
* • Pregnancy or patients with bleeding tendency. * Complicated hernia. * Patients who are not fit for surgery.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| hernia recurrence rate detect by clinical examination and ultrasonography | 6 months starting from the postoperative day 1 | Hernia recurrence is the most critical measure of surgical failure and is a direct indicator of the long-term effectiveness of the repair. A lower recurrence rate demonstrates the superiority of one surgical technique or material over another. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| the rate of seroma formation as detected by subcutanous drain | 30 days from postoperative day 1 | the amount if seroma fluid will be estimated in ml as present un surgical subcutanous drain |
Countries
Egypt