Repair of Groin Hernia With Synthetic Mesh

Grant, Albert; Go, P. M. N. Y. H.; Fingerhut, Abe; Kingsnorth, Andrew; Merello, J.; O’Dwyer, P. J.; Payne, John H.; McCormack, Kirsty; Ross, Sue; Scott, Neil; Vale, Luke; Aitola, P; Anderberg, B; Barkun, Jeffrey; Barth, Richard J.; Bay‐Nielsen, Morten; Bittner, R.; Bringman, Sven; Callesen, Torben; Castoro, Carlo

doi:10.1097/00000658-200203000-00003

Cited by 336 publications

(34 citation statements)

References 46 publications

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“…These results are comparable to results of many other studies [20] [21]. When comparing UHS with the classic Lichtenstein repair of inguinal hernia, many studies showed equivalent results for both techniques regarding intra and post-operative complications, length of hospital stay, duration of analgesics use, and time to return to usual activities [10] [11] [22]. Regarding operative time, some studies showed shorter operative time for UHS [20] [23]; other studies had longer operative time for UHS compared to Lichtenstein repair [24].…”

Section: Discussionsupporting

confidence: 84%

“…On the other hand, in the pre-peritoneal approach, the mesh is placed posteriorly in the pre-peritoneal space to cover Fruchaud myo-pectineal orifice completely [10] [11]. In 1997, Gilbert described his technique [4] that combined both the anterior and the posterior pre-peritoneal approach by the use of the Prolene Hernia System that gives the patient the advantages of both techniques with comparable short and long term results [12].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Ultra-Pro Hernia System for Repair of Primary Complex Inguinal Hernia: Should It Be the Technique of Choice?

El-Bakary¹,

Bouchiba²,

Elakkad³

et al. 2017

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Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Ultra-Pro Hernia System for Repair of Primary Complex Inguinal Hernia: Should It Be the Technique of Choice?

El-Bakary¹,

Bouchiba²,

Elakkad³

et al. 2017

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“…Based on the numerous randomised trials and meta-analyses, procedures using a mesh have become the gold standard in the surgical repair of inguinal hernia [2, 53, 54]. Procedures using a mesh have reduced the rate of recurrence from 15% to less than 1% [55, 56].…”

Section: Surgical Site Infection: Costs and Consequencesmentioning

confidence: 99%

Antibiotic prophylaxis in open inguinal hernia repair: a literature review and summary of current knowledge.

Zamkowski¹,

Makarewicz²,

Ropel³

et al. 2016

Videosurgery and Other Miniinvasive Techniques

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More than 1 million inguinal hernia repairs are performed in Europe and the US annually. Although antibiotic prophylaxis is not required in clean, elective procedures, the routine use of implants (90% of inguinal hernia repairs are performed with mesh) makes the topic controversial. The European Hernia Society does not recommend routine antibiotic prophylaxis for elective inguinal hernia repairs. However, the latest randomized controlled trial, published by Mazaki et al., indicates that the use of prophylaxis is effective for the prevention of surgical site infection. Unnecessary prophylaxis contributes to the development of bacterial resistance and significantly increases healthcare costs. This review documents clinical trials on inguinal hernia repairs with mesh and summarizes the current knowledge. It also tries to solve certain problems, namely: what constitutes a real risk factor, late-onset infection, and how the “surgical environment” impacts on the need to use antibiotic prophylaxis.

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“…After two decades of mesh use, it is clear that this technique can help to reduce the manifestation of recurrences [5]. Furthermore, particularly in the case of a recurrence, the laparoscopic approach is faster than the open redo procedure and may have the advantage of reducing the incidence of postoperative chronic pain.…”

Section: Textiles In Surgerymentioning

confidence: 99%

‘The Ideal Mesh?'

2013

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Currently, more than 200 different textile constructions, so-called ‘meshes', are available for use world-wide in the more than 20 million operations performed annually for the reinforcement of tissues. As any reintervention at the mesh-tissue compound is a surgical challenge, sometimes resulting in almost untreatable defects, huge efforts are being made to improve the biological and functional performance of the meshes. Based on numerous experimental and clinical studies in the past 20 years, our understanding of them has improved markedly. This includes the biomechanical aspects and the histopathological evaluation of the recipient tissue. Sufficiently large pores as well as structural stability in case of mechanical strain have been identified to be crucial to reduce excessive inflammation and fibrosis. Furthermore, large pores prevent bridging of the foreign body reaction through the pore and thereby help to reduce clinical adverse events as erosion, shrinkage or pain. However, with regard to the many different indications for meshes, there will never be one single ideal mesh for all purposes. To achieve an optimal performance, every construction should be designed according to the specific functional requirements, charging the surgeon to identify the best mesh for his purpose.

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Repair of Groin Hernia With Synthetic Mesh

Abstract: The use of synthetic mesh substantially reduces the risk of hernia recurrence irrespective of placement method. Mesh repair appears to reduce the chance of persisting pain rather than increase it.

Cited by 336 publications

References 46 publications

Ultra-Pro Hernia System for Repair of Primary Complex Inguinal Hernia: Should It Be the Technique of Choice?

Ultra-Pro Hernia System for Repair of Primary Complex Inguinal Hernia: Should It Be the Technique of Choice?

Antibiotic prophylaxis in open inguinal hernia repair: a literature review and summary of current knowledge.

‘The Ideal Mesh?'

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