The use of polypropylene mesh in inguinal hernia surgery: A retrospective study

Abstract

Previously, inguinal hernia surgery was based exclusively on repairing the abdominal wall defects using the patient's own tissues, which were put in contact with and tensioned to recalibrate the natural orifices. At present, inguinal hernia surgery is based almost solely on mounting an allograft, which has the role of strengthening the weakened groin region that allowed the herniation. This modern method of operation on inguinal hernia can be performed in a classic or laparoscopic manner. The mesh is made of polypropylene, which is a polymer of cyclic hydrocarbons. The aim of the present study was to evaluate the effectiveness, biocompatibility, as well as the immediate and long-term complications in textile allografts used in open surgery of inguinal hernia repair. Another aim was to demonstrate once again the superiority of low-weight meshes with large pores by decreasing the number of complications caused by the synthetic material used, but also by a decrease in the tension on the tissues to which it was fixed. The present study included 255 cases submitted to inguinal hernia surgery. Only 1.5% required immediate reinter vention before discharge to evacuate hematoma. The short duration of hospitalization, the quality-price ratio, the good postoperative results, as well as the rapid socio-professional reintegration, render the use of polypropylene mesh in inguinal hernia surgery very attractive for patients.

Application of Quantitative Assessment Strategy-Based Nursing Combined with Empathic Nursing in Patients Undergoing Tension-Free Inguinal Herniorrhaphy

“…It has a pronounced therapeutic effect on inguinal hernia patients and puts forward higher requirements for nursing. In addition, it is worth noting that surgery is a traumatic stress response, and postoperative pain is an inevitable, normal physiological response, which will cause patients to have physiological and psychological abnormal reactions, which may affect the curative effect of surgery [ 17 ]. Therefore, in addition to the effective surgical treatment of inguinal hernia patients, we should comprehensively consider patients' physical and mental symptoms and implement targeted nursing interventions, to provide more references for improving the overall surgical efficacy and quality of life of patients.…”

“…Evidence-Based Complementary and Alternative Medicine curative effect of surgery [17]. erefore, in addition to the effective surgical treatment of inguinal hernia patients, we should comprehensively consider patients' physical and mental symptoms and implement targeted nursing interventions, to provide more references for improving the overall surgical efficacy and quality of life of patients.…”

Ultra-Fine Polyethylene Hernia Meshes Improve Biocompatibility and Reduce Intraperitoneal Adhesions in IPOM Position in Animal Models

“…The research of Eickhoff et al demonstrated how textile modifications of suture strands—in particular, the surface structures of sub-macrophage-sized patterns—led to an improved foreign body reaction [ 13 ]. The enlarged surface area of polymer filaments consisting of filaments larger than macrophages induces and increases foreign body reactions, even for biomaterials that are considered to be of good biocompatibility, such as PP [ 16 ]. Our results further illuminate this ostensible contradiction: UFPET meshes led to decreased scar induction in biocompatibility assessments, as indicated by the reduced IFBG and OFBG after 7 days and the smaller IFBG after 21 days but especially evidenced by the significant reduction in the OFBG compared to all other tested meshes after 21 days.…”

Management of mesh infection after open inguinal hernia repair.

“…6 The biomedical materials industry has made significant strides in research and development, which has resulted in manufacturing surgical meshes that are largely non-reactive and biocompatible. 7,8 When surgical meshes are implanted in the human body, various responses can be triggered, including inflammation, fibrosis, calcification, thrombosis, and infection. This has been observed in clinical practice.…”