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Abstract
MESH RELATED COMPLICATIONS AND QUALITY OF LIFE OF PATIENTS WITH INGUINAL HERNIA REPAIR IN NINEVEH
*Dr. Raad Abdalhadi Ayoob
ABSTRACT
Background: Inguinal hernia is the most common type, with two types. Mesh repair is recommended due to itsability to reduce recurrence risk. European Guidelines recommend mesh-based techniques for male adults over 30with symptomatic groin hernia. Aim of the study: To evaluate the complications among the patients afteringuinal hernia repair with mesh in Nineveh. Patients and Methods: A study at Al-Salam Teaching Hospital inNineveh involved 190 patients with inguinal hernia who underwent mesh repair. Preoperative factors includedage, BMI, sex, and pain score. Intraoperative variables included mesh size, mesh type, and fixation method.Postoperative outcomes were measured using SOMS and CCS, with higher scores indicating better physicalfunctioning and satisfaction. Results: The study involved 53.7±2.4 years of age, 30.9±6.3 BMI, 90.5% males,9.5% females, and 26.3% open approach. Hernia size was 3.9±0.7 cm, mesh size 150-300 cm2, and tack used in20.5% of operations. The study found a decreasing pattern in pain impact, quality, VAS, and fatigue postoperatively,while physical functioning improved post-operatively. Body image and satisfaction increasedpostoperatively. The study found an increasing trend of patients with no symptoms three months after surgery,with mild pain scores of 61.4%, 50.0%, and 62.2% respectively. Conclusions: The study concluded that inguinalhernia repairing with mesh was significantly enhances patient quality of life, with minimal morbidity and lowrecurrence rates. The procedure is safe, minimally invasive, and has numerous quality of life tools.
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