Prospective double-blind randomized controlled study comparing heavy- and lightweight polypropylene mesh in totally extraperitoneal repair of inguinal hernia: early results

Agarwal, Brij B.; Agarwal, Krishna A.; Mahajan, Krishan C.

doi:10.1007/s00464-008-0188-2

Cited by 85 publications

(94 citation statements)

References 27 publications

(58 reference statements)

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“…In a recently published randomized trial comparing the same meshes in laparascopic extra-peritoneal inguinal hernia repair (TEP) of recurrent unilateral hernias the light weight composite (VyproII ® ) mesh group had a significantly better pain score. [28]The results from a similar study conducted by Agarwal et al,[29]where placement of lightweight Polypropylene mesh was associated with significantly better pain scores, patient comfort, and sexual function.…”

Section: Discussionmentioning

confidence: 98%

Polyglactine/Polypropylene Mesh vs. Propylene Mesh: Is there a need for newer prosthesis in inguinal hernia?

Khan

Bangash

Sadiq

et al. 2010

Saudi J Gastroenterol

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Background/Aim:To compare outcomes of light and heavy weight mesh for repair of inguinal hernia.Materials and Methods:This study was conducted at the Department of Surgery; Lady Reading Hospital, Peshawar from January 1, 2007 to December 31, 2008. Patients were divided into two groups based on the type of mesh implanted for inguinal hernia repair. Group 1 included patients in whom light weight composite (VyproII®) mesh is implanted: Group 2 included patients in whom polypropylene (ProleneR) mesh is implanted. Data concerning the complications and post operative pain in the perioperative and postoperative period were collected and analyzed. Categorical data were presented as percentages with 95% confidence intervals and compared using a χ2test and P<0.05 were considered significant.Results:Following allocation and exclusion of violating cases, 111 patients in group 1 and 138 patients in group 2 were analyzed. The mean age in group 1 was 38.20 ± 13.34 years and in group 2 was 39.55 ± 13.70 (P = 0.434). In group 1, hematoma formation was observed in four cases (3.6%), while it was observed in six cases (4.2%) in group 2 (P = 0.766). During the entire study, ten patients in all developed urinary retention, three of which required transient catheterization. One year post operation, there was a recurrence in only five cases overall, while only two patients complained of pain (P = 0.826).Conclusion:The frequency of postoperative pain and complications in patients was similar in both groups.

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Section: Discussionmentioning

confidence: 98%

Polyglactine/Polypropylene Mesh vs. Propylene Mesh: Is there a need for newer prosthesis in inguinal hernia?

Khan

Bangash

Sadiq

et al. 2010

Saudi J Gastroenterol

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“…28 Authors have reported pain scores in patients receiving lightweight polypropylene mesh were consistently lower than the control group receiving heavyweight polypropylene mesh over a follow up of 1 year. 29 The pain following TEP/TAPP repairs is most commonly somatic which differs from the pain seen after open repairs, which is usually neuropathic. If the somatic pain observed following TEP/TAPP relates to fixation, then alternatives to staple fixation such as tissue glue or nonfixation may further reduce chronic pain.…”

Section: Discussionmentioning

confidence: 99%

A comparative study of three-dimensional mesh (3D mesh) and polypropylene mesh in laparoscopic inguinal hernia repairs in adults

et al. 2017

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INTRODUCTIONThe word hernia comes from the Latin for 'Rupture' and the Greek for 'Bud'. 1 A hernia is defined as an abnormal protrusion of a viscera or tissue through a defect in its surrounding wall. Hernias of the groin comprise approximately 75% of all hernias and 95% are hernias of inguinal region. Inguinal hernias are 9 times more common in men. Over all inguinal hernia is the most common hernia in women.2 Indirect hernias represent the most common type of hernia in both men and women. Direct hernias are more common in elderly.The most common presenting symptom for a groin hernia is a dull feeling of discomfort in the groin region that is exacerbated by straining the abdominal musculature, lifting heavy objects, or defecating. These manoeuvres worsen the feeling of discomfort. 4 Factors favouring surgery include symptomatic hernia, the size of the hernia defect and the risk of incarceration. The treatment of all ABSTRACT Background: Polypropylene mesh gives risk of recurrence, owing to overall decrease in the size of mesh and increased subjective foreign body feeling from contracture and scarring. An anatomically contoured 3D mesh for laparoscopic inguinal hernia repair often requires no fixation, with minimal risk of postoperative pain and recurrence rate. Methods: This was a prospective comparative study conducted over a period of 2.5 years. The study enrolled 60 patients, 30 patients in each group. The end points of the study were mesh fixation time, post-operative pain, seroma formation, hospital stay, chronic groin pain, sensory impairment, and cost and affordability. Follow up period was 18 months.

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“…At least one study demonstrated higher rates of shrinkage for large-pore lightweight mesh compared with small-pore heavyweight meshes (83). Some studies have suggested that large-pore lightweight meshes result in superior tissue integration (84), better elasticity (85) and a lower incidence of pain (86), while other studies report a higher recurrence rate for largepore lightweight mesh in laparoscopically repaired groin hernias, especially in larger hernias (87).…”

Section: Figure 3) a To C The Difference Between Stiffness Elasticitmentioning

confidence: 99%

Surgical mesh for ventral incisional hernia repairs:Understanding mesh design

Rastegarpour¹,

Cheung²,

Vardhan³

2016

J Plastic Surgery

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Prospective double-blind randomized controlled study comparing heavy- and lightweight polypropylene mesh in totally extraperitoneal repair of inguinal hernia: early results

Abstract: Lightweight PP mesh is associated with significantly better outcomes in TEP inguinal herniorrhaphy as compared with heavyweight PP mesh.

Cited by 85 publications

References 27 publications

Polyglactine/Polypropylene Mesh vs. Propylene Mesh: Is there a need for newer prosthesis in inguinal hernia?

Polyglactine/Polypropylene Mesh vs. Propylene Mesh: Is there a need for newer prosthesis in inguinal hernia?

A comparative study of three-dimensional mesh (3D mesh) and polypropylene mesh in laparoscopic inguinal hernia repairs in adults

Surgical mesh for ventral incisional hernia repairs:Understanding mesh design

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