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136506

Self-gripping Mesh in Inguinal Hernia Repair

Article

Last updated: 24 Dec 2024

OverviewSimilar Items

Subjects

-

Tags

Surgery

Abstract

Background: Inguinal hernia repair is a common procedure that general surgeons undertake with different techniques aiming for a better outcome.
Aim of the work: Comparison between self-gripping mesh and sutures for mesh fixation in open [Lichtenstein] inguinal repair.
Patients and Methods: This study is a prospective trial. Fifty adult males scheduled for inguinal hernia repair were classified into two groups: group A [n=25] underwent inguinal repair with self-gripping mesh; group B [n=25]  underwent inguinal repair with mesh fixation using proline sutures.
Results: The mean operative time was 37.4 ±13.5 and 48.81±14.7 minutes in groups A and B, respectively. The incidence of seroma, scrotal edema, and wound infection was 4%, 8%, and 8%  in the group [A] compared to 12%, 24%, 12% in the group [B], respectively. No recurrence was reported in either group. However, 12%  and 80% in groups A and B had mild postoperative pain [p <0.001]. After three months of surgery, no cases of chronic groin pain reported in the group [A] compared to three in the group [B] [p>0.05]. The mean time to return to normal activities in a group [A] was 2.51days and 5.97 days in the group [B] [p <0.001]. Mean pain visual analogue scale [VAS] scores at 6 months were 0.5 [0.4 to 1.5] in the self-gripping mesh group and 8.6 [3.3 to 12.5] in sutured mesh group [p <0.01]. The mean cost of ProGrip mesh was higher than the mean cost of polypropylene mesh [4508 VS 555 LE] [p <0.001].
Conclusion: Lichtenstein open inguinal hernia repair with ProGrip low-density polyester mesh is a safe, with short operative time, simple and effective method for inguinal hernia repair and may improve patient general health, reduce postoperative pain and improve quality of life. However, its high price makes its use questionable in low economic settings.

DOI

10.21608/ijma.2021.50241.1214

Keywords

Inguinal hernia, hernia repair, Parietex ProGrip Mesh, Chronic groin pain, Self-gripping mesh

Authors

First Name

Ibrahim Goda

Last Name

Atia

MiddleName

Ibrahim

Affiliation

Dekirnis Central Hospital, Ministry of Health, Mansoura, Dakahlia, Egypt

Email

dr.ibrahimgoda@gmail.com

City

-

Orcid

-

First Name

Amr

Last Name

Sarhan

MiddleName

Abd-Alghany

Affiliation

Department of General Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

dr.sarhan@gmail.com

City

-

Orcid

-

First Name

Mohamed

Last Name

Balbola

MiddleName

Mustafa

Affiliation

Department of General Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

dr.balbola@gmail.com

City

Damietta

Orcid

-

Volume

3

Article Issue

1

Related Issue

21557

Issue Date

2021-01-01

Receive Date

2020-11-30

Publish Date

2021-01-01

Page Start

1,152

Page End

1,162

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 3_Issue 1_Pages 1152-1162.pdf

PDF . 1.8MB

Link

https://ijma.journals.ekb.eg/article_136506.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=136506

Order

34

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

Self-gripping Mesh in Inguinal Hernia Repair

Details

Type

Article

Created At

22 Jan 2023