title: Hernioplasty with and without mesh: analysis of the immediate complications in a randomized controlled clinical trial.
abstract: BACKGROUND
  Inguinal hernia repair is the most common procedure in general surgery and 80,000 operations are performed annually in Great Britain, 100,000 in France and 700,000 in the US. Given its high frequency has a major impact, both in the medical and economic aspects.
  
  
  OBJECTIVE
  Analyze the immediate postoperative complications comparing mesh versus non mesh hernioplasty.
  
  
  METHODS
  Randomized control trial, with the enrollment of 263 patients underwent surgery for inguinal hernia randomized by randomization table. Treatment (mesh, Lichtenstein or without mesh, Bassini technique) was assigned using sequentially numbered opaque envelopes having fulfilled the inclusion criteria. The variables analyzed were: postoperative pain, seroma, hematoma, infection, return to normal activities and recurrence.
  
  
  RESULTS
  The mean age was 55.5 years, 88% patients were male and 12% female. The pain was higher in patients operated with mesh.
  
  
  CONCLUSIONS
  The inguinal hernia repair mesh group had less immediate postoperative complications and significantly earlier return to work than hernioplasty without mesh, this being one of the most important conclusions.
authors.affiliation: Department of General Surgery, Hospital Nacional Profesor Alejandro Posadas, Buenos Aires, Argentina.
authors.forename: Mariano
authors.initials: M
authors.lastname: Palermo
authors.affiliation: Department of General Surgery, Hospital Nacional Profesor Alejandro Posadas, Buenos Aires, Argentina.
authors.forename: Pablo A
authors.initials: PA
authors.lastname: Acquafresca
authors.affiliation: Department of General Surgery, Hospital Nacional Profesor Alejandro Posadas, Buenos Aires, Argentina.
authors.forename: Miguel
authors.initials: M
authors.lastname: Bruno
authors.affiliation: Department of General Surgery, Hospital Nacional Profesor Alejandro Posadas, Buenos Aires, Argentina.
authors.forename: Francisco
authors.initials: F
authors.lastname: Tarsitano
mesh_terms: D005260:Female; D006552:Hernia, Inguinal / Q000601:surgery*; D059685:Herniorrhaphy / Q000009:adverse effects* / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D013526:Surgical Mesh; D013997:Time Factors