Inguinal hernia repair with Parietex ProGrip mesh causes minimal discomfort and allows early return to normal activities

Batabyal, Pikli; Haddad, R.; Samra, Jaswinder S.; Wickins, Simon; Sweeney, Edmund; Hugh, Thomas J.

doi:10.1016/j.amjsurg.2015.04.019

Cited by 21 publications

(20 citation statements)

References 30 publications

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“…Four found a significantly lower incidence of urinary retention after LA compared with regional anaesthesia. The rate of urinary retention was significantly lower after GA than LA in a single study. Results were not significant in six studies, of which three compared LA with GA, and three compared LA with regional anaesthesia.…”

Section: Resultsmentioning

confidence: 80%

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Network meta-analysis of urinary retention and mortality after Lichtenstein repair of inguinal hernia under local, regional or general anaesthesia

Olsen

Öberg

Andresen

et al. 2019

British Journal of Surgery

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Background Urinary retention and mortality after open repair of inguinal hernia may depend on the type of anaesthesia. The aim of this study was to investigate possible differences in urinary retention and mortality in adults after Lichtenstein repair under different types of anaesthesia. Methods Systematic searches were conducted in the Cochrane, PubMed and Embase databases, with the last search on 1 August 2018. Eligible studies included adult patients having elective unilateral inguinal hernia repair by the Lichtenstein technique under local, regional or general anaesthesia. Outcomes were urinary retention and mortality, which were compared between the three types of anaesthesia using meta‐analyses and a network meta‐analysis. Results In total, 53 studies covering 11 683 patients were included. Crude rates of urinary retention were 0·1 (95 per cent c.i. 0 to 0·2) per cent for local anaesthesia, 8·6 (6·6 to 10·5) per cent for regional anaesthesia and 1·4 (0·6 to 2·2) per cent for general anaesthesia. No death related to the type of anaesthesia was reported. The network meta‐analysis showed a higher risk of urinary retention after both regional (odds ratio (OR) 15·73, 95 per cent c.i. 5·85 to 42·32; P < 0·001) and general (OR 4·07, 1·07 to 15·48; P = 0·040) anaesthesia compared with local anaesthesia, and a higher risk after regional compared with general anaesthesia (OR 3·87, 1·10 to 13·60; P = 0·035). Meta‐analyses showed a higher risk of urinary retention after regional compared with local anaesthesia (P < 0·001), but no difference between general and local anaesthesia (P = 0·08). Conclusion Local or general anaesthesia had significantly lower risks of urinary retention than regional anaesthesia. Differences in mortality could not be assessed as there were no deaths after elective Lichtenstein repair. Registration number: CRD42018087115 ( https://www.crd.york.ac.uk/prospero).

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Section: Resultsmentioning

confidence: 80%

“…Overall, 16 studies compared urinary retention after different types of anaesthesia. Four found a significantly lower incidence of urinary retention after LA compared with regional anaesthesia.…”

Section: Resultsmentioning

confidence: 99%

Network meta-analysis of urinary retention and mortality after Lichtenstein repair of inguinal hernia under local, regional or general anaesthesia

Olsen

Öberg

Andresen

et al. 2019

British Journal of Surgery

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“…However, there were no significant differences in the late postoperative pain in the first, third and sixth months or in the rate of recurrence between both study groups. Causes of postoperative pain are multifactorial and may include inflammatory reaction to mesh, iatrogenic nerve injury or entrapment, or issues related to mesh tension due to additional suture or tack fixation [23]. Our experience suggests that the use of a self gripping mesh using retromuscular technique offers a durable repair without the need for additional permanent fixation that may cause persistent pain.…”

Section: Discussionmentioning

confidence: 88%

Progrip self-gripping mesh in Rives-Stoppa repair: Are there any differences in outcomes versus a retromuscular polypropylene mesh fixed with sutures? A “case series” study

Bueno-Lledó

Torregrosa

Argüelles

et al. 2017

International Journal of Surgery Case Reports

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“…In point of view of the patient recovery and postoperative pain and not at least the operative time, the results of a cohort study (540 patients) describes better tolerance of Parietex ProGrip (polyester) mesh than the Polypropylene [21].…”

Section: Results and Discvussionsmentioning

confidence: 99%

Study of Biointegration and Tissue Reaction of Polyethylene Terephtalate 3D and Polypropylene Surgical Meshes in Rat Model

Benedek¹,

Bauer²,

Sorlea³

et al. 2018

Mat.Plast.

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The aim of this experimental study is to compare the biointegration and tissue response to different surgical mesh types, inserted in various layers of the abdominal wall of Wistar rats. After 30 days, the rats were sacrificed and the meshes were removed en bloc with the subcutaneous tissue, muscular layer and peritoneum. Tissue response (fibrosis, inflammation) was measured using quantitative and semi-quantitative morphometry. We observed that polyethylene terephthalate 3D mesh induces significantly more fibrosis compared to polypropylene mesh and the fibrosis is absent or minimal in case of the control group. Tissue reaction, including fibrosis, is reduced around the polypropylene mesh. We also observed that fibrosis is more intense towards aponeurosis and peritoneum. We can conclude that the 3D mesh shows better biointegration if it is used in proper circumstances. It�s well tolerated by the organism if sutured to the aponeurosis and preferable with monofilament stitches.

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Inguinal hernia repair with Parietex ProGrip mesh causes minimal discomfort and allows early return to normal activities

Cited by 21 publications

References 30 publications

Network meta-analysis of urinary retention and mortality after Lichtenstein repair of inguinal hernia under local, regional or general anaesthesia

Network meta-analysis of urinary retention and mortality after Lichtenstein repair of inguinal hernia under local, regional or general anaesthesia

Progrip self-gripping mesh in Rives-Stoppa repair: Are there any differences in outcomes versus a retromuscular polypropylene mesh fixed with sutures? A “case series” study

Study of Biointegration and Tissue Reaction of Polyethylene Terephtalate 3D and Polypropylene Surgical Meshes in Rat Model

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