Multi-Slice Computed Tomography in Assessing Mesh Titanium Implant Shrinkage After Prosthetic Inguinal Hernioplasty

Author:

Nikitin P. A.1ORCID,Nudnov N. V.2ORCID,Znamenskiy I. A.3ORCID,Azimov R. Kh.1,Karpova A. A.1ORCID,Averin E. E.1ORCID

Affiliation:

1. Central Clinical Hospital, Russian Academy of Sciences

2. Russian Scientific Center of Roentgenoradiology

3. Central Clinical Hospital, Russian Academy of Sciences; Pirogov Russian National Research Medical University

Abstract

Objective: to assess the percentage of mesh “titanium silk” implant shrinkage after inguinal hernia repair surgery in the late postoperative period using multi-slice computed tomography (MSCT). Material and methods. The comparative assessment of the long-term results of treatment in 90 patients with inguinal hernias was performed using MSCT. In 36 (40%) patients of Group 1 the titanium implant was used in Lichtenstein hernia repair surgery. In Group 2, 54 (60%) patients were operated by laparoscopic hernia repair surgery. On day 3 and 3 months after surgery every patient underwent MSCT with subsequent determination of the implant square. Results. The percent of mesh “titanium silk” implant shrinkage 3 months after surgery according to MSCT was 4.4% in Lichtenstein hernia repair group, and 8.3% in laparoscopic hernia repair group. According to Kruskal-Wallis test, there were no statistic differences of this indicator between two groups (p = 0,185). Conclusion. The analysis of long-term results of inguinal hernia repair surgery with titanium mesh implants using MSCT showed that implant square significantly decreases 3 months after surgery. There were no significant differences in implants shrinkage regarding the type of surgery. MSCT is an effective method for evaluating the size of mesh titanium implants after hernia repair surgery.

Publisher

Luchevaya Diagnostika

Subject

General Medicine

Reference11 articles.

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2. Kagan II. Clinical anatomy of abdomen. Illustrated authors lecture cycle. Мoscow: GEOTAR-Media; 2021: 304 (in Russ).

3. Russian public organization “Herniology society”. National clinical recommendations of hernias. Inguinal and ventral hernias. Мoscow; 2018: 16–8 (in Russ).

4. Sedov VM, Gostevskoy AA, Tarbaev SD, et al. Mesh implants of polyvinylidene fluoride in treatment of abdominal wall hernias. Grekov’s Bulletin of Surgery. 2008; 167(2): 16–21 (in Russ).

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