medigraphic.com
Órgano Oficial del Hospital Angeles Health System

2016, Number 2

<< Back Next >>

Acta Med 2016; 14 (2)

Randomized clinical trial about the use of self-adhesive mesh against the use of fixed polypropylene mesh to repair inguinal hernia

Sánchez ARA, Hernández AS, Flores OMO, López IR, Rendón MME

Language: Spanish
References: 15
Page: 77-83
PDF size: 164.20 Kb.


ABSTRACT

Background: The use of self-gripping mesh has reduced surgical time in inguinal plasty without increasing complications compared to repairs with sutured mesh. However, there is controversy as to whether this reduction and non-use of sutures for fixation impact on the presence and severity of postoperative pain. Objective: Determine whether the use of self-gripping mesh (SGM) reduces the presence and intensity of postoperative pain as opposed to sutured mesh (SM). Material and methods: Single-blind randomized controlled clinical trial in parallel groups: SGM versus SM with the Lichtenstein technique. The application and surgical time was evaluated, as it was: the pain at 24 h, 72 h, 7 days, 1 month, 3 months, 6 months and one year by visual analog scale. Major complications were analyzed. Results: There was less intense pain at 24 h and 72 h (p = 0.012 and p = 0.018). The SGM required less application time (72.4 ± 10 s versus 375.5 ± 38 s, p ‹ 0.0001) and surgical time (24.6 ± 2.5 m versus 40.2 ± 4.9 m, p ‹ 0.0001). The main complications were seroma, testicular edema, and one relapse. Conclusion: The self-gripping mesh could reduce mediate postoperative pain as a consequence of less trauma to tissues due to the non-use of sutures.


REFERENCES

  1. Mayagoitia GJ. Hernias de la pared abdominal: tratamiento actual. 2a edición. México, D.F.: Alfil S.A. de C.V.; 2009.

  2. Bekker J, Keeman JN, Simons MP, Aufenacker TJ. A brief history of the inguinal hernia operation in adults. Ned Tijdschr Geneeskd. 2007; 151 (16): 924-931.

  3. Amid PK. Lichtenstein tension-free hernioplasty: its inception, evolution, and principles. Hernia. 2004; 8 (1): 1-7.

  4. Canonico S, Benevento R, Perna G, Guerniero R, Sciaudone G, Pellino G et al. Sutureless fixation with fibrin glue of lightweight mesh in open inguinal hernia repair: effect on postoperative pain: a double-blind, randomized trial versus standard heavyweight mesh. Surgery. 2013; 153 (1): 126-130.

  5. Campanelli G, Canziani M, Frattini F, Cavalli M, Agrusti S. Inguinal hernia: state of the art. Int J Surg Lond Engl. 2008; 6 Suppl 1: S26-S28.

  6. van Veen RN, Wijsmuller AR, Vrijland WW, Hop WC, Lange JF, Jeekel J. Randomized clinical trial of mesh versus non-mesh primary inguinal hernia repair: long-term chronic pain at 10 years. Surgery. 2007; 142 (5): 695-698.

  7. Kalliomäki ML, Meyerson J, Gunnarsson U, Gordh T, Sandblom G. Long-term pain after inguinal hernia repair in a population-based cohort; risk factors and interference with daily activities. Eur J Pain Lond Engl. 2008; 12 (2): 214-225.

  8. Nienhuijs S, Staal E, Strobbe L, Rosman C, Groenewoud H, Bleichrodt R. Chronic pain after mesh repair of inguinal hernia: a systematic review. Am J Surg. 2007; 194 (3): 394-400.

  9. Jeroukhimov I, Wiser I, Karasic E, Nesterenko V, Poluksht N, Lavy R et al. Reduced postoperative chronic pain after tension-free inguinal hernia repair using absorbable sutures: a single-blind randomized clinical trial. J Am Coll Surg. 2014; 218 (1): 102-107.

  10. Fang Z, Zhou J, Ren F, Liu D. Self-gripping mesh versus sutured mesh in open inguinal hernia repair: system review and meta-analysis. Am J Surg. 2014; 207 (5): 773-781.

  11. Bruna-Esteban M, Cantos-Pallarés M, Artigues-Sánchez De Rojas E. Use of adhesive mesh in hernioplasty compared to the conventional technique. Results of a randomised prospective study. Cir Esp. 2010; 88 (4): 253-258.

  12. Zhang C, Li F, Zhang H, Zhong W, Shi D, Zhao Y. Self-gripping versus sutured mesh for inguinal hernia repair: a systematic review and meta-analysis of current literature. J Surg Res. 2013; 185 (2): 653-660.

  13. Hollinsky C, Kolbe T, Walter I, Joachim A, Sandberg S, Koch T et al. Comparison of a new self-gripping mesh with other fixation methods for laparoscopic hernia repair in a rat model. J Am Coll Surg. 2009; 208 (6): 1107-1114.

  14. Pandanaboyana S, Mittapalli D, Rao A, Prasad R, Ahmad N. Meta-analysis of self-gripping mesh (Progrip) versus sutured mesh in open inguinal hernia repair. Surgeon. 2014; 12 (2): 87-93.

  15. Li J, Ji Z, Li Y. Comparison of laparoscopic versus open procedure in the treatment of recurrent inguinal hernia: a meta-analysis of the results. Am J Surg. 2014; 207 (4): 602-612.




2020     |     www.medigraphic.com