DOI: http://dx.doi.org/10.18203/2349-2902.isj20203783

Comparison between the composite heavy weight prolene mesh versus the prolene soft mesh for the reduction in post-operative pain in patients undergoing lichensteins mesh repair for inguinal hernias

Abhijit Medikeri, Praveeen Kamatagi

Abstract


Background: Globally, inguinal hernia is the most common type of hernia, comprising of approximately 75% of all abdominal wall hernias.Aim of the study was to compare the heavyweight composite polypropylene mesh versus the prolene soft mesh for the reduction of post-operative pain in patients undergoing lichensteins mesh repair for inguinal hernia.

Methods: This study was conducted in the Department of General Surgery, KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belgaum attached to KLE University’s J.N.M.C Belgaum.

Results: Male preponderance was seen with 96.67% of patients in group SP and all (100%) patients in group RP were males. The mean age in group SP was 51.93±18.73 years compared to 49.50±14.03 years in group RP (p=0.571). The mean duration of the disease was 12.67±9.85 months in group SP whereas in group RP it was 15.10±8.98 months (p=0.321). The mean pulse rate in group SP and RP (79.60±5.64 vs 82.37±5.46 /min; p=0.059), systolic blood pressure (120.33±9.99 vs 124.33±11.94 mmHg; p=0.165) and diastolic blood pressure (73.73±6.76 vs 75.80±8.59 mmHg; p=0.305) were comparable. Right position was noted in 56.67% of patients in group SP compared to 50% of patients in group RP (p=0.673).

Conclusions: Prolene soft mesh (lightweight macro-porous polypropylene mesh) significantly reduced the post-operative pain in patients undergoing lichensteins mesh repair for inguinal hernia as compared to heavyweight composite polypropylene mesh.


Keywords


Inguinal, Lichensteins mesh repair, Prolene soft mesh, Polypropylene mesh

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References


Williams NS, Bulstrode CJK, O’Connell PR. Bailey and Love’s Short Practice of Surgery. 25th ed. London: Hodder Arnold. 2008.

Schools IG, Dijkman VB, Butzelaar RM, Geldere VD, Simons MP. Inguinal hernia repair in Amsterdam region. Hernia. 2001;5(1):37-40.

Yeboah OM. Strangulated external hernias in Kumasi. West Afr J Med. 2003;22:310-3.

Nordberg EM. Incidence and estimated need of caesarean section, inguinal hernia repair, and operation for strangulated hernia in rural Africa. Br Med J. 1994;289:92-3.

Kingsnorth AN, LeBlanc KA. Management of abdominal hernias. 3rd ed. London, New York. Edward Arnold. 2003.

Lal P, Kajla RK. Laparoscopic total extraperitoneal versus open Lichtenstein inguinal hernia repair. J Surg Enosc. 2003;17:850-6.

EU Hernia Trialists Collaboration. Repair of groin hernia with synthetic mesh: meta-analysis of randomized controlled trials. Ann Surg. 2002;235(3):322-32.

Rutkow IM. Demographic and socioeconomic aspects of hernia repair in the United States in 2003. Surg Clin North Am. 2003;83:1045-51.

Gulzar MR, Iqbal J, Ul haq MI, Afzal M. Darning versus Bassini repair for inguinal hernia; a prospective comparative study. Professional Med J. 2007;14(1):128-33.

Saxena P, Roberts KE. Lichtenstein hernioplasty. Available at http://reference.medscape.com. Accessed on 18 June 2013.

Junge K, Klinge U, Prescher A, Niewiera M, Schumpelick V. Elasticity of the anterior abdominal wall and impact for reparation of incisional hernias using mesh implants. Hernia. 2001;5(3):113-8.

DeBord JR, Whitty LA. Biomaterials in hernia repair. In: Mastery of Surgery, Fischer JE, eds. Lippincott Williams and Wilkins. 2007:1965-1968.

Simons MP, Aufenacker T, Nielsen BM, Bouillot JL, Campanelli G, Conze J, et al. European hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia. 2009;13(4):343-403.

Bringman S, Wollert S, Osterberg J, Smedberg S, Granlund H, Heikkinen TJ. Three-year results of a randomized clinical trial of lightweight or standard polypropylene mesh in Lichtenstein repair of primary inguinal hernia. Br J Surg. 2006;93(9):1056-9.

Shouldice EE. The treatment of hernia. Ontario Med Rev. 1953;20:670-84.

Shearburn EW, Myers RN. Shouldice repair for inguinal hernia. Surgery. 1969;66:450-9.

Jensen TS, Baron R. Translation of symptoms and signs into mechanisms in neuropathic pain. Pain. 2003;(1-2):1-8.

Brown CN, Finch JG. Which mesh for hernia repair. Ann R Coll Surg Engl. 2010;92(4):272-8.

Rutkow IM, Robbins AW. Demographic, classificatory, and socioeconomic aspects of hernia repair in the United States. Surg Clin North Am. 1993;73:413-26.

Post S, Weiss B, Willer M, Neufang T, Lorenz D. Randomized clinical trial of lightweight composite mesh for Lichtenstein inguinal hernia repair. Br J Surg. 2004;91(1):44-8.

Śmietański M, Śmietańska IA, Modrzejewski A, Simons MP, Aufenacker TJ. Systematic review and meta-analysis on heavy and lightweight polypropylene mesh in Lichtenstein inguinal hernioplasty. Hernia. 2012;16(5):519-28.

Li J, Ji Z, Cheng T. Lightweight versus heavyweight in inguinal hernia repair: a meta-analysis. Hernia. 2012;16(5):529-39.