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Objective: We compared the effects of single-knot fascia closure technique and classical fascia closure technique on postoperative pain in fascia closure. Material and Methods: In this prospective cohort study, 80 term non-obese pregnant women who had no complicated pregnancy and no additional disease, and who were planned for elective cesarean section were included in the study. Classical fascia closure method was applied to one group (n=40) and single-knot fascia closure method was applied to the other group (n=40). In the singleknot fascia closure technique, the suture was threaded down from the upper part of the right fascia corner and the needle was removed from the lower part of the fascia upwards, approximately 0.5 cm behind the left fascia corner. In the classical fascia closure technique, the fascia was closed continuously. Pain was evaluated with visual analogue scale (VAS) at 8th, 24th hours, and 3rd months postoperatively. The cases were followed up for the development of infection, hematoma, seroma, and hernia at the wound site within 3 months postoperatively. Results: Wound infection, seroma, hematoma, and hernia did not develop in the postoperative period in both groups. However, VAS values at the 8th and 24th hours and 3rd months were significantly lower in the group in which the single knot fascia closure method was applied. Conclusion: The single-knot fascia closure method is an effective and reliable method in reducing postoperative pain after cesarean section. [ABSTRACT FROM AUTHOR]

The abdominal hernias become more prevalent with age. The objective of this study was to investigate the choice of the proper brand of hernia mesh according to the age of the patients. Seventy-eight samples of fascia harvested from 19 fresh cadavers were subjected to uniaxial tension tests and divided into four groups according to age: Group A (up to 60 years), Group B (61–70 years), Group C (71–80 years) and Group D (81–90 years). Median stress–stretch ratio curves with respect to age and direction of loading were obtained. The elastic modulus of samples and the level of orthotropy (the ratio between tensile stress in the longitudinal and the transversal direction) were calculated at 5% strain. Uniaxial tensile tests were performed also using five standard meshes (Microval, Parietex Composite, Surgimesh, Surgipro, TecnoMesh) and five lightweight meshes (Optilene, Parietex, TiO2Mesh, Ultrapro, Vypro II). The elastic modulus and level of orthotropy at 5% strain were calculated. The results of the study showed that Parietex Composite, Microval and Vypro II are recommended for 71–80 years patients, while Parietex Light is recommended for patients up to 60 years. [ABSTRACT FROM AUTHOR]