Normal and Small Size Mesh in Open Inguinal Herni Repair
Normal and Small Size Mesh in Open Inguinal Herni Repair
Recent years, lots of treatment teqnique have development. We aimed that comparising the
 normal and small size meshes in the inguinal hernia patients.
Data Collection Method: The research will be a multicentric, prospective and randomized
 clinical study to be conducted between 01.11.2018 and 28.02.2019 by the general surgery
 clinics of Mogadishu-Somalia Recep Tayyip Erdogan Training and Research Hospital and Health
 Sciences University Konya Training and Research Hospital.

 Male patients with inguinal hernia repair will be included in the study. Patients will be
 randomized into two groups. While the normal size of 15 x 7 cm (105 cm2) mesh was used in the
 first group, In the second group, a small size 11 x 5 cm (55 cm2) mesh will be used.

 Dismissal criteria are; Female patients, relapse hernias, bilateral inguinal hernia,
 laparoscopic hernia repair, diabetic patients using insulin, patients with COPD, peripheral
 vascular disease, emergency inguinal hernia repair, patients with high ASA score, patients
 with serious cardiological problems, heavy smokers, transfusions during the perioperative
 period.

 Patients will be given clear and understandable information about the study. Patients who
 agree to participate in the study will receive a consent form explaining that they have
 participated in the study voluntarily.

 Randomization is done by the secretary with a computer program. A note stating which group
 the patient is in is placed in a closed envelope and an envelope is opened at the
 preoperative surgery table.

 The method of operation will be open inguinal hernia repair (Lichtenstein hernia repair). The
 patient will be repaired with mesh suitable for the randomization group. Operations will be
 performed under the supervision of an experienced surgeon or experienced surgeon.

 Surgical Method: Patients will receive open inguinal hernia repair, known as Lichtenstein
 hernia repair. According to the Gilbert classification, the hernia type is recorded in the
 patient file.

 Evaluation of patient characteristics and pain: the researcher will not know in which group
 the patients are. Demographic features, duration of surgery, hernia type, early postoperative
 complications, return to work will be recorded in the study forms. If there is a suspicion of
 recurrence in the physical examination, a recurrence assessment will be performed by
 ultrasonography and magnetic resonance examination if necessary. Recurrences will be detected
 at 1, 6, 12, and 24 and recorded on the study form.

 Values will be recorded in the form by using the Sheffield Scale in the assessment of chronic
 pain.
Inclusion Criteria:

 -  ages must be upper 18

 Exclusion Criteria:

 -  Morbit obesity (BMI>40)