A prospective comparative study of the efficacy of conventional lichtenstein versus self-adhesive mesh repair for inguinal hernia

Anadol, A. Ziya; Akın, Murat; Kurukahvecioğlu, Osman; Tezel, Ekmel; Ersoy, Emin

doi:10.1007/s00595-011-4545-8

Cited by 33 publications

(28 citation statements)

References 23 publications

(31 reference statements)

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“…However, our results demonstrated that both surgical meshes reduced lateterm pain-related symptoms, with neither technique being superior to the other. This finding is compatible with many other studies evaluating the efficacy of self-gripping mesh repair over Lichtenstein mesh repair (14)(15)(16).…”

Section: Variablessupporting

confidence: 91%

The long-term changes in pain-related symptomatology of inguinal herniafollowing 2 different herniorrhaphy techniques

Öziş¹,

Çevik²,

Uslu³

et al. 2015

Turk J Med Sci

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Background/aim: To compare the changes in pain-related symptoms of inguinal hernias from initial admission to postoperative month 6 following 2 herniorrhaphy techniques. Materials and methods:Patients with unilateral inguinal hernias were scheduled for either Lichtenstein or self-gripping polypropylene mesh repair. Patients were preoperatively evaluated with a visual analog scale (VAS) and a Turkish version of the Douleur Neuropathique 4 (DN4) questionnaire and the complaints related to pain were noted. After surgery, patients were discharged without early complications. Patients were reassessed at postoperative month 6. The late-term complaints of pain as well as neurological findings were evaluated using the VAS and the Turkish version of the DN4 questionnaire. Quality of life was also assessed with the Nottingham Health Profile (NHP).Results: Thirty-four patients underwent conventional Lichtenstein repair and 19 patients underwent self-gripping polypropylene mesh repair. Even though decreases in VAS intensity scores for both hernia repair techniques were noted at postoperative month 6 when compared to the preoperative period, no significant changes were found in pain, VAS, total DN4, or NHP scores between groups. Conclusion:Despite its ease of application and short time duration, self-gripping polypropylene mesh repair was not found to be superior to conventional Lichtenstein hernia repair in terms of reducing pain related to inguinal hernia.

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Section: Variablessupporting

confidence: 91%

The long-term changes in pain-related symptomatology of inguinal herniafollowing 2 different herniorrhaphy techniques

Öziş¹,

Çevik²,

Uslu³

et al. 2015

Turk J Med Sci

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“…Mesh biomaterial in the form of lightweight mesh and heavyweight mesh has also been reported to be involved in the aetiology and pathogenesis of chronic groin pain [12][13][14][15]. Mesh fixation techniques potentially contributing to the development of chronic groin pain include the use of staples, tackers, sutures, autologous glues and synthetic glues [16][17][18][19][20][21]. Various measures to counteract the issues related to CGP and less predominantly related to hernia recurrence are being explored continuously.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Versus Open Preperitoneal Mesh Repair of Inguinal Hernia: an Integrated Systematic Review and Meta-analysis of Published Randomized Controlled Trials

2015

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The objective of this article is to systematically analyse the randomized, controlled trials comparing open (OPPR) versus laparoscopic (LPPR) preperitoneal mesh repair of inguinal hernia. Randomized, controlled trials comparing OPPR versus LPPR of inguinal hernia were analysed systematically using RevMan®, and combined outcomes were expressed as odds ratio (OR) and standardized mean difference (SMD). Ten randomized trials evaluating 1286 patients were retrieved from the electronic databases. There were 606 patients in the OPPR repair group and 680 patients in the LPPR group. There was significant heterogeneity among trials (p < 0.0001). Therefore, in the random effects model, LPPR was associated with longer operative time and relatively lesser postoperative pain in the case of the trans-abdominal preperitoneal approach. Statistically, both OPPR and LPPR were equivalent in terms of developing chronic groin pain, recurrence and postoperative complications. OPPR of inguinal hernia is associated with shorter operative time and comparable with LPPR (both total extraperitoneal and trans-abdominal preperitoneal approaches) in terms of risk of chronic groin pain, recurrence and complications.

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“…In the other 49 studies (61%), a total of 22 different definitions of CPIP were identified. Almost half (n = 23) of these studies applied the definition provided by the IASP, which is ‘chronic pain is pain that persists beyond three months post-operatively' [39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58,59,60,61,62]. The remaining half (n = 26) used multiple definitions of CPIP, which can be categorized and summarized as follows.…”

Section: Resultsmentioning

confidence: 99%

“…In half of the studies, the categorization consisted of reporting the effect of CPIP on daily life using 9 different validated or nonvalidated criteria (table 3) [33,40,48,52,58,61,62,68,73,79,86]. The remaining studies used a categorization of pain severity based on VAS or numerical analog scale measurements [8,10,19,22,23,50,56,71,73,81,87,88,89].…”

Section: Resultsmentioning

confidence: 99%

Uniformity of Chronic Pain Assessment after Inguinal Hernia Repair: A Critical Review of the Literature

2016

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Background: Chronic postoperative inguinal pain (CPIP) is the most common long-term complication of inguinal hernia repair. As such procedures are routinely performed, CPIP can be considered a significant burden to global health care. Therefore, adequate preventative measures relevant to surgical practice are investigated. However, as no gold standard research approach is currently available, study and outcome measures differ between studies. The current review aims to provide a qualitative analysis of the literature to seek out if outcomes of CPIP are valid and comparable, facilitating recommendations on the best approach to preventing CPIP. Methods: A systematic review of recent studies investigating CPIP was performed, comprising studies published in 2007-2015. Study designs were analyzed regarding the CPIP definitions applied, the use of validated instruments, the availability of a baseline score, and the existence of a minimal follow-up of 12 months. Results: Eighty eligible studies were included. In 48 studies, 22 different definitions of CPIP were identified, of which the definition provided by the International Association for the Study of Pain was applied most often. Of the studies included, 53 (66%) used 33 different validated instruments to quantify CPIP. There were 32 studies (40%) that assessed both pain intensity (PI) and quality of life (QOL) with validated tools, 41% and 4% had a validated assessment of only PI or QOL, respectively, and 15% lacked a validated assessment. The visual analog scale and the Short Form 36 (SF36) were most commonly used for measuring PI (73%) and QOL (19%). Assessment of CPIP was unclear in 15% of the studies included. A baseline score was assessed in 45% of the studies, and 75% had a follow-up of at least 12 months. Conclusion: The current literature addressing CPIP after inguinal hernia repair has a variable degree of quality and lacks uniformity in outcome measures. Proper comparison of the study results to provide conclusive recommendations for preventive measures against CPIP therefore remains difficult. These findings reaffirm the need for a uniform and validated assessment with uniform reporting of outcomes to improve the burden that CPIP poses to a significant surgical patient population.

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A prospective comparative study of the efficacy of conventional lichtenstein versus self-adhesive mesh repair for inguinal hernia

Abstract: Self-adhesive mesh repair of inguinal hernias is superior to the conventional Lichtenstein method in terms of shorter operative time and less pain in the early postoperative period. The rates of chronic pain and recurrence are similar with the suture-fixed repairs.

Cited by 33 publications

References 23 publications

The long-term changes in pain-related symptomatology of inguinal herniafollowing 2 different herniorrhaphy techniques

The long-term changes in pain-related symptomatology of inguinal herniafollowing 2 different herniorrhaphy techniques

Laparoscopic Versus Open Preperitoneal Mesh Repair of Inguinal Hernia: an Integrated Systematic Review and Meta-analysis of Published Randomized Controlled Trials

Uniformity of Chronic Pain Assessment after Inguinal Hernia Repair: A Critical Review of the Literature

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