Comparing Early Outcomes using Non Absorbable Polypropylene Mesh and Partially Absorbable Composite Mesh through Laparoscopic Transabdominal Preperitoneal Repair of Inguinal Hernia

Kalra, Tarun; Soni, Rajesh Kumar; Sinha, Ajit

doi:10.7860/jcdr/2017/27982.10478

Cited by 8 publications

(15 citation statements)

References 21 publications

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“…Cirênio de AlmeidA BArBosA, TCBC-mG 1,2,3 ; deBorAh CAmpos oliveirA 4 ; nATháliA mourA de-melo-delGAdo 1 ; ronAld soAres dos sAnTos 1 ; WeBer ChAves moreirA, TCBC-mG 2,3 .…”

Section: Review Articleunclassified

“…Polypropylene, a synthetic material of meshes usually used in tension-free techniques, can trigger granulomatous reactions around the individual fibers of the material, which unite and encapsulate the mesh, producing a rigid scar with little elasticity, which it is related to pain 1,13 .…”

Section: Review Articlementioning

confidence: 99%

“…Inguinodynia is multifactorial and can be caused by damage to one or more nerves in the region The choice of mesh and type of fixation are also factors that contribute to the development of chronic pain 1,13 . As for fixation, the use of staples has been widely debated in recent years, since they can induce damage to sensitive nerves and lead to neuropathy.…”

Section: Etiologymentioning

confidence: 99%

“…In addition to this technique, laparoscopic repair has gained relevance because it causes less pain and requires less hospitalization time and postoperative recovery. Laparoscopic herniorrhaphy has two main approaches: total extraperitoneal (TEP) and preperitoneal transabdominal (TAPP) [1][2][3] .…”

Section: Introductionmentioning

confidence: 99%

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Inguinodynia: review of predisposing factors and management

Barbosa

Oliveira

DE-Melo-Delgado

et al. 2020

Rev. Col. Bras. Cir.

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Herniorrhaphy is one of the most common surgical procedures, with an estimated 20 million operations performed annually worldwide. One of the common complications associated with this procedure is inguinodynia, defined as pain beyond three months after inguinal hernia surgery. In this review, we have addressed the main aspects of this complication with current articles, published in the last five years. Inguinodynia has a multifactorial nature and studies have shown that its development is related to the surgical technique and intrinsic factors of the patient that imply greater predisposition to this phenomenon. In this regard, it has been discussed which surgical techniques imply a lower incidence of this complication. Many studies have focused on understanding intrinsic features of each patient, both in physical and cognitive aspects, and how the approach of these factors can favor a better post-surgical recovery. The treatment of this condition is still challenging, and there are no established universal guidelines. We believe that due to its multifactorial nature, the treatment is hampered due to the individuality inguinodynia presentations.

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“…Cirênio de AlmeidA BArBosA, TCBC-mG 1,2,3 ; deBorAh CAmpos oliveirA 4 ; nATháliA mourA de-melo-delGAdo 1 ; ronAld soAres dos sAnTos 1 ; WeBer ChAves moreirA, TCBC-mG 2,3 .…”

Section: Review Articleunclassified

Section: Review Articlementioning

confidence: 99%

Section: Etiologymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Inguinodynia: review of predisposing factors and management

Barbosa

Oliveira

DE-Melo-Delgado

et al. 2020

Rev. Col. Bras. Cir.

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“…The latest published meta-analysis puts the incidence at 3,4% on average [2]. The risk of hematoma is increased by partially absorbable mesh, chronic anticoagulation, recurrent hernia procedure, mesh fixation, larger hernia defect and medial defect localization [[3], [4], [5]]. Hematomas commonly manifest themselves early after the surgical procedure and imaging examinations show a fluid collection.…”

Section: Introductionmentioning

confidence: 99%

Inguinal tumorous mass – an uncommon late manifestation of chronic organized hematoma after laparoscopic transabdominal preperitoneal inguinal hernia repair: Two cases report

Chmátal

Keil

2020

International Journal of Surgery Case Reports

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HighlightsChronic organized hematoma is rare surgery complication, it is uncommon after laparoscopic hernia repair especially.Two patients were re-operated on with groin tumorous mass in longer intervals after transabdominal preperitoneal inguinal hernia repair from the anterior access.Tumorous bulk outside of postoperative scars and outside original operating space was made up of old organized hematoma.Only removal of tumour could exclude neoplasm and ends patient’s mechanical restrictions.

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Heavyweight Mesh Is Superior to Lightweight Mesh in Laparo-endoscopic Inguinal Hernia Repair

Bakker

Aufenacker

Boschman³

et al. 2020

Annals of Surgery

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Objective: This meta-analysis and trial sequential analysis aims to provide an update on the available randomized controlled trials (RCTs) and recommendations on using lightweight mesh (LWM) or heavyweight mesh (HWM) in laparo-endoscopic inguinal hernia repair. Background: LWM might reduce chronic pain through improved mesh flexibility and less fibrosis formation. However, in laparo-endoscopic repair chronic pain is already rare and LWM raise concerns of higher recurrence rates. Methods: A literature search was conducted in May 2019 in MEDLINE, Embase, and the Cochrane library for RCTs that compared lightweight (≤50 g/m2) and heavyweight (>70 g/m2) mesh in patients undergoing laparo-endoscopic surgery for uncomplicated inguinal hernias. Outcomes were recurrences, chronic pain, and foreign-body sensation. The level of evidence was assessed using GRADE. Risk ratios (RR) and 95% confidence intervals (CI) were calculated by random effect meta-analyses. Trial-sequential-analyses were subsequently performed. Results: Twelve RCTs, encompassing 2909 patients (LWM 1490 vs HWM 1419), were included. The follow-up range was 3 to 60 months. Using LWM increased the recurrence risk (LWM 32/1571, HWM 13/1508; RR 2.21; CI 1.14–4.31), especially in nonfixated mesh direct repairs (LWM 13/180, HWM 1/171; RR 7.27; CI 1.33–39.73) and/or large hernia defects. No difference was determined regarding any pain (LWM 123/1362, HWM 127/1277; RR 0.79; CI 0.52–1.20), severe pain (LWM 3/1226, HWM 9/1079; RR 0.38; CI 0.11–1.35), and foreign-body sensation (LWM 100/1074, HWM 103/913; RR 0.94; CI 0.73–1.20). Conclusion: HWM should be used in laparo-endoscopic repairs of direct or large inguinal hernias to reduce recurrence rates. LWM provide no benefit in indirect hernias.

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Comparing Early Outcomes using Non Absorbable Polypropylene Mesh and Partially Absorbable Composite Mesh through Laparoscopic Transabdominal Preperitoneal Repair of Inguinal Hernia

Abstract: Introduction: Laparoscopic hernia repair is in vogue in the present era. Both the operating surgeon and the patient are concerned about the postoperative inguinodynia which has now replaced recurrence as the predominant factor affecting quality of life.

Cited by 8 publications

References 21 publications

Inguinodynia: review of predisposing factors and management

Inguinodynia: review of predisposing factors and management

Inguinal tumorous mass – an uncommon late manifestation of chronic organized hematoma after laparoscopic transabdominal preperitoneal inguinal hernia repair: Two cases report

Heavyweight Mesh Is Superior to Lightweight Mesh in Laparo-endoscopic Inguinal Hernia Repair

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