| Total extraperitoneal hernioplasty: does the long-term clinical course depend on the type of mesh? | |
| | |
MedLine Citation:
|
PMID: 19105667 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
INTRODUCTION: Implantation of alloplastic material has become a standard surgical procedure in inguinal hernia repair. The properties of different meshes are discussed as determinants of postoperative outcome. The aim of this study was to comparatively evaluate long-term results after total extraperitoneal hernioplasty (TEP) with a heavyweight polypropylene mesh (PP) and a lightweight polypropylene-polyglactin composite mesh (PP-PG) in a large patient population. MATERIALS AND METHODS: The study included patients who underwent TEP for elective repair of uni- or bilateral inguinal hernias between June 1997 and October 2004. We used a heavyweight PP mesh from June 1997 to February 2001 and a lightweight PP-PG mesh from March 2001 to October 2004. Patient data were evaluated by a prospective online registry, and long-term results were assessed by standardized ad hoc questionnaires after a minimum follow-up of 12 (12-103) months. RESULTS: Five hundred twenty-two patients aged 18-87 years underwent surgical repair of 655 inguinal hernias, and 370 (70.8%) were evaluated. TEP was performed with PP mesh in 192 cases and with PP-PG mesh in 169 cases. Nine patients died during follow-up; 14.6% (PP) versus 20.1% (PP-PG) patients complained of mild pain, and 8.9% (PP) versus 5.3% (PP-PG) patients reported moderate to severe pain (P > 0.05). Mild dysesthesias occurred in 13.5% of the PP group and 11.8% of the PP-PG group (P = 0.63). Moderate to severe dysesthesias were reported by 6.8% with a heavyweight mesh and by 3.0% with a lightweight mesh (P = 0.10). There were no significant differences with regard to the patients' postoperative return to normal daily activities. The recurrence rate was 5.2% with a PP mesh and 1.8% with a PP-PG mesh (P = 0.08). CONCLUSIONS: The long-term results after TEP showed no difference between PP and PP-PG meshes with regard to chronic pain, chronic dysesthesias, postoperative daily activities, and recurrence rates. |
| | |
Authors:
|
Johannes C Lauscher; Kamal Yafaei; Heinz J Buhr; Jörg P Ritz |
Related Documents
:
|
17956527 - Retrospective comparative study of 59 cases of laparoscopic radical prostatectomy: tran... 19730947 - Perioperative outcomes after transition from conventional to minimally invasive ivor-le... 22422487 - Time-dependent increased risk for serious infection from continuous use of tnf antagoni... 12728377 - A prospective, randomized, unicenter study comparing laparoscopic and open treatments o... 12045777 - Distal ulcerative colitis refractory to rectal mesalamine: role of transdermal nicotine... 20141507 - Emerging approaches to the treatment of uveitis: patents of 2000 - 2004. |
Publication Detail:
|
Type: Comparative Study; Journal Article |
Journal Detail:
|
Title: Journal of laparoendoscopic & advanced surgical techniques. Part A Volume: 18 ISSN: 1092-6429 ISO Abbreviation: J Laparoendosc Adv Surg Tech A Publication Date: 2008 Dec |
Date Detail:
|
Created Date: 2008-12-24 Completed Date: 2009-03-31 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9706293 Medline TA: J Laparoendosc Adv Surg Tech A Country: United States |
Other Details:
|
Languages: eng Pagination: 803-8 Citation Subset: IM |
Affiliation:
|
Department of General, Vascular, and Thoracic Surgery, Charité-Universitätsmedizin, Campus Benjamin Franklin, Hindenburgdamm 30, Berlin, Germany. johannes.lauscher@charite.de |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Aged Aged, 80 and over Female Hernia, Inguinal / surgery* Humans Male Middle Aged Pain Measurement Polyglactin 910 Polypropylenes Postoperative Complications Prospective Studies Quality of Life Questionnaires Recurrence Registries Statistics, Nonparametric Surgical Mesh* Treatment Outcome |
| Chemical | |
Reg. No./Substance:
|
0/Polypropylenes; 34346-01-5/Polyglactin 910 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Outcome of surgical fundoplication for extraesophageal (atypical) manifestations of gastroesophageal...
Next Document: Selection of cap size in endoscopic submucosal resection with cap aspiration for rectal carcinoid tu...