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Research ArticleOriginal Article
Open Access

Suture versus mesh repair for incisional hernia

Saleh M. Al-Salamah, Muhammad I. Hussain, Kamran Khalid and Muhammed H. Al-Akeely
Saudi Medical Journal May 2006, 27 (5) 652-656;
Saleh M. Al-Salamah
Associate Prof. and Consultant General Surgeon, College of Medicine, King Saud University, Department of Surgery, University Unit, Riyadh Medical Complex, PO Box 261283, Riyadh 11342, Kingdom of Saudi Arabia. Tel. +966 (1) 4671585. Fax. +966 (1) 4679493. E-mail: [email protected]
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Muhammad I. Hussain
Department of General Surgery, King Saud University Unit, Riyadh Medical Complex, Riyadh, Kingdom of Saudi Arabia.
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Kamran Khalid
Department of General Surgery, King Saud University Unit, Riyadh Medical Complex, Riyadh, Kingdom of Saudi Arabia.
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Muhammed H. Al-Akeely
Department of General Surgery, King Saud University Unit, Riyadh Medical Complex, Riyadh, Kingdom of Saudi Arabia.
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Abstract

OBJECTIVE: To compare suture with mesh repair, for incisional hernia in terms of early and late outcomes.

METHODS: We reviewed the records of all the patients who presented with primary or recurrent incisional hernia in the Department of General Surgery, Riyadh Medical Complex, Riyadh, Kingdom of Saudi Arabia, from January 2000 to December 2004. We divided patients, who underwent repair, in 2 groups: Group A (suture repair) and Group B (mesh repair). The information recorded for both groups included gender, age, associated systemic illness, site of hernia, initial surgery, number and type of previous hernia repairs, size of hernial defect, techniques of repair, and hospital stay. The principal early and late outcome measures studied were septic complications and recurrence.

RESULTS: A total of 123 patients qualified for the study, 72 in group A and 51 in group B. Wound infection was 5.5% in group A versus 3.9% in group B (p=0.51). Follow up ranged between 6-58 months (mean 37.5 months) for both groups. Fifteen patients (20.8%) developed recurrence in group A, while the recurrence rate in group B was only 5.8% (p=0.04).

CONCLUSION: Mesh repair resulted in a lower recurrence rate, and is not associated with increased incidence of wound complications compared with suture repair.

  • Copyright: © Saudi Medical Journal

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Saudi Medical Journal: 27 (5)
Saudi Medical Journal
Vol. 27, Issue 5
1 May 2006
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Suture versus mesh repair for incisional hernia
Saleh M. Al-Salamah, Muhammad I. Hussain, Kamran Khalid, Muhammed H. Al-Akeely
Saudi Medical Journal May 2006, 27 (5) 652-656;

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Suture versus mesh repair for incisional hernia
Saleh M. Al-Salamah, Muhammad I. Hussain, Kamran Khalid, Muhammed H. Al-Akeely
Saudi Medical Journal May 2006, 27 (5) 652-656;
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© 2023 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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