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370296

Self-fixating Parietex ProGrip mesh in inguinal and paraumbilical hernia repair

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Last updated: 21 Dec 2024

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Abstract

Background
Inguinal hernia repair is the most frequently performed operation in general surgery. The standard method for inguinal hernia repair had changed little over a hundred years till using self-fixating Parietex ProGrip mesh. This mesh can be placed by an open approach which is becoming increasingly common in many countries.
Objectives
This study investigated the recent surgical treatment of open inguinal and paraumbilical hernia patients using self-fixating ProGrip Parietex mesh. Immediate complications reported were seroma, cellulitis, postoperative pain, mesh sepsis, testicular atrophy, and recurrence.
Patients and methods
This study was conducted between January 2015 and January 2017 at Al-Zahra Hospital Al Azhar University, and Al-Ameen Hospital, KSA with a 1 year follow-up. The patients underwent general, spinal, or epidural anesthesia. A dose of third-generation cephalosporin was administrated during the induction of anesthesia. Self-fixating Parietex ProGrip mesh with or without lateral slit with a rough surface placed on the floor of the inguinal canal for the repair of inguinal hernias or in subcutenous plane on anterior abdominal wall musculature in paraumbilical hernias.
Results
Self-fixating Parietex ProGrip mesh was used with a lateral slit for the spermatic cord, maked right and left for indirect inguinal hernia patients (69.79%) and direct hernia patients (27.01%). Self-fixating ProGrip Parietex mesh without slit with a rough surface was placed in the subcutaneous plane in patients with paraumbilical hernias (3.1%). Immediate complications such as seroma, cellulitis, and postoperative pain were studied. The mean operative time was ±35 min and the mean hospitalization discharge time was ±1.5 days.
Conclusion
The use of self-fixating Parietex ProGrip mesh technique for the repair of inguinal and paraumbilical hernias in this study seemed effective and safe, and is not associated with postoperative pain. No recurrence of hernia and no mesh sepsis were detected, with 1 year follow-up.

DOI

10.4103/sjamf.sjamf_15_18

Keywords

Inguinal, Hernia, Mesh

Authors

First Name

Ashraf I.A.

Last Name

El-Sharkawy

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Orcid

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First Name

Hazem A.

Last Name

Mostafa Badr

MiddleName

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Affiliation

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Orcid

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First Name

Rasha

Last Name

Abd El-Aziz Abd El-Gany

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Volume

2

Article Issue

1

Related Issue

49510

Issue Date

2018-01-01

Receive Date

2018-05-11

Publish Date

2018-01-01

Page Start

32

Page End

40

Print ISSN

1110-2381

Link

https://sjamf.journals.ekb.eg/article_370296.html

Detail API

https://sjamf.journals.ekb.eg/service?article_code=370296

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370,296

Publication Type

Journal

Publication Title

The Scientific Journal of Al-Azhar Medical Faculty, Girls

Publication Link

https://sjamf.journals.ekb.eg/

MainTitle

Self-fixating Parietex ProGrip mesh in inguinal and paraumbilical hernia repair

Details

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Article

Created At

21 Dec 2024