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Abstract

AN ASSESSMENT OF KNOWLEDGE, ATTITUDES, PERCEPTIONS OF PATIENTS REGARDING HERNIA AND PREFERENCE OF SURGEONS ON USE OF MESH IN HERNIA REPAIR

B.V.S Lakshmi*, V. Ram Mohan Rao, Ajitha Byragoni and Delsey Saldanha

Abstract

Objective: To assess knowledge, attitudes and perceptions of patients regarding hernia and preference of surgeons regarding use of mesh in hernia repair. Method: This prospective observational cross-sectional study was conducted in Department of General Surgery. Questionnaires were given to 10 surgeons performing hernia repair to determine their preference of use of mesh in hernia repair. Selected patients were interviewed pre and post counseling by means of questionnaires about hernia, need of surgery and use of mesh. Patients were then divided into two groups-PROLENE and VYPRO, on basis of mesh used in their hernia repair. Post-operative follow up included assessment of pain scores using Verbal Numerical Rating Scale, QOL scores using Carolinas Comfort Scale, determination of length of hospital stay, use of analgesics and quality of life between two groups PROLENE MESH and VYPRO II MESH group respectively. Results: Cases of Hernia, especially Inguinal Hernia are predominantly seen in males (80%) when compared to females (20%). Patients above age group of 40years (62%) were found to be more susceptible to hernia. Heavy weight lifting, chronic cough, chronic constipation and previous surgeries were found to be main factors that aggravate hernia. An assessment of surgeons’ preference in method of hernia repair and type of mesh revealed that most of the surgeons preferred open hernia repair and Polypropylene mesh (PROLENE). Conclusion: There is an extremely statistically significant difference between pre and post-counseling results. No statistical difference in the overall short term outcome of both the groups indicates that the surgeons’ preference of PROLENE mesh (with lesser cost) is justified.

Keywords: Hernia, KAP survey, Heavyweight Polypropylene mesh, Composite mesh, Patient counseling, Preferences of Surgeons.


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