Informatics Publishing Limited

Rabah Ali Hussein ¹, Basim Ghaib Hussein ¹, Jameel I. Azzawi ¹

Affiliations
1 Department of Surgery, Collage of Medicine, Tikrit University, Tikrit, IQ

Abstract

Background: Para umbilical hernia has many causes and it is a complex process, they are most commonly found along the midline. This study aims to assess the efficacy of mesh repair in comparison toMayo’sRepair and toanalyse the complications associated with the management.

Method: The study was done in Samarra general hospital, with clinical features suggestive of Paraumbilical hernia (Minimum 30 cases each) from October 2014 to October 2016. This study not include Paediatric age group and those patients requiring emergency surgery. 30 patients underwent Mayo’s repair and 30 patients underwent Mesh repair. Follow up period ranged from 2 months to 24 months.

Results: Paraumbilical hernia was found more commonly between the age of 30 years to 50 years with female: male 3:1. Most common presenting symptom was swelling with cough impulse (36 %) and reducibility present. Commonest predisposing factors were multiparty and obesity. Percentage of early postoperative complications in Mayo’s repair was 18% and in Mesh repairs 6%. Percentage of recurrence following Mayo’s repair was 13.3% and following mesh repair was 0%. Postoperative complications like seroma, infections were similar in both procedures (Mayo’s repair and Mesh repair).

Conclusions: Prosthetic mesh repair is a technique with good post-operative outcome, low recurrent rate and Good patient satisfaction.

Keywords

Mesh Repair, Mayo’s Repair, Surgical Treatment, Paraumblical Hernia, Medical Techniques, Features Suggestive.

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Basim Ghaib Hussein ¹, Jameel I. Azzawi ¹, Rabah Ali Hussein ²

Affiliations
1 M.B.Ch.B,FICMS (General Surgery), Department of Surgery, Collage of Medicine, Tikrit University. Tikrit, IQ
2 M.B.Ch.B,FICMS (General Surgery), Department of Surgery, Collage of Medicine, Tikrit University. Tikrit, IN

Abstract

Anal pain is a common complaint, mostly of benign etiology but with psychological impact & interferes with life activities. The causes of anal pain usually can be easily diagnosed & treated with over the counter pain relievers & hot water soaks. Aim of the Study: To compare the effectiveness of treatment with laser surgery to the traditional type of surgery. Patients & Method: A prospective study was conducted on patients admitted to Samarra General Hospital & a private hospital from first of October 2017 to thirty one of May 2018. Ninety eight patients underwent different traditional & laser surgical procedures for hemorrhoids, anal fissure &fistula in ano. Of them, 68 patients (69.3%) were males & 30 patients (30.7%) were females with age range from 20-55 years (mean age of 32 year). The patients were divided into 2 groups: Group A (49 patients) were treated by traditional method & Group B (49 patients) were treated by laser surgery. Results: The laser surgery was less than traditional surgery in duration of operation by 17 minutes. For the intraoperative blood loss the laser surgery was less than traditional surgery. The infection rate was 1 of 49 cases in laser surgery while it was 7 of 49 cases in traditional surgery. The healing duration in laser surgery was less than traditional surgery. Duration of return to work was 22 days & 23 days in laser & traditional surgeries respectively. Finally the pain score according to numeric pain scale was mild for laser surgery & moderate for traditional one. Conclusion: Laser surgery was better than traditional surgery in treatment of anal disease.

Keywords

Laser surgery, Diode laser surgery, conventional surgery treatment, hemorrhoid, anal fissure, Fistula in ano

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