A comparative study of three-dimensional mesh (3D mesh) and polypropylene mesh in laparoscopic inguinal hernia repairs in adults

Abstract

INTRODUCTIONThe word hernia comes from the Latin for 'Rupture' and the Greek for 'Bud'. 1 A hernia is defined as an abnormal protrusion of a viscera or tissue through a defect in its surrounding wall. Hernias of the groin comprise approximately 75% of all hernias and 95% are hernias of inguinal region. Inguinal hernias are 9 times more common in men. Over all inguinal hernia is the most common hernia in women.2 Indirect hernias represent the most common type of hernia in both men and women. Direct hernias are more common in elderly.The most common presenting symptom for a groin hernia is a dull feeling of discomfort in the groin region that is exacerbated by straining the abdominal musculature, lifting heavy objects, or defecating. These manoeuvres worsen the feeling of discomfort. 4 Factors favouring surgery include symptomatic hernia, the size of the hernia defect and the risk of incarceration. The treatment of all ABSTRACT Background: Polypropylene mesh gives risk of recurrence, owing to overall decrease in the size of mesh and increased subjective foreign body feeling from contracture and scarring. An anatomically contoured 3D mesh for laparoscopic inguinal hernia repair often requires no fixation, with minimal risk of postoperative pain and recurrence rate. Methods: This was a prospective comparative study conducted over a period of 2.5 years. The study enrolled 60 patients, 30 patients in each group. The end points of the study were mesh fixation time, post-operative pain, seroma formation, hospital stay, chronic groin pain, sensory impairment, and cost and affordability. Follow up period was 18 months.

A Comparative Study Between Intra-Operative Difficulties and Postoperative Complications in Laparoscopic Inguinal Hernia Repair using Conventional Polypropylene Mesh and 3D Mesh A Meta-Analysis

“…Ten trials included, three trials regarding 3d mesh versus conventional mesh in laparoscopic inguinal hernia repair were selected from electronic databases. 8,9,10 Three trials regarding 3d mesh and four trials regarding polyprolene mesh. 11,12,13,14,15,16,17 The search process is shown in table 3…”

“…The key bene ts of 3D mesh as some recent studies suggest are: anatomically designed, easy positioning, xation free, reduced post-operative pain, and reduced chronic post herniorraphy groin pain (inguinodynia). 3 3D Mesh Repair technique is an advanced method that uses Polypropylene mesh which covers the hernia defect from 3 sides; above, center and below. This tension-free repair is appropriate for treating big sized and recurrent hernias 4…”

Hernia repair techniques: a comparative analysis of mesh types

“…These innovative meshes have three-dimensional structures to promote tissue integration, minimize the risk of adhesions, and improve outcomes. 23 Evidence suggests that these meshes are efficient and safe and propose many advantages, such as less surgical time and less postoperative pain. 23 When comparing mesh types, it's important to consider factors such as the patient's medical history, the type and location of the hernia, the surgeon's experience, and the potential risks and benefits associated with each mesh type.…”

“…23 Evidence suggests that these meshes are efficient and safe and propose many advantages, such as less surgical time and less postoperative pain. 23 When comparing mesh types, it's important to consider factors such as the patient's medical history, the type and location of the hernia, the surgeon's experience, and the potential risks and benefits associated with each mesh type. The choice of mesh should be individualized for each patient and their specific clinical circumstances.…”

25. Đánh Giá Kết Quả Và Các Yếu Tố Liên Quan Tới Biến Chứng Sau Phẫu Thuật Nội Soi Đặt Tấm Lưới Hoàn Toàn Ngoài Phúc Mạc Điều Trị Thoát Vị Bẹn Tại Bệnh Viện Đại Học Y Hà Nội Năm 2020-2023

“…Ngoài ra, việc gặp biến chứng gần sau mổ một tháng cũng khiến làm tăng tỷ lệ gặp biến chứng xa lên 2,5 lần (p=0,03). Theo Tajamul Rashid thấy những bệnh nhân được phẫu thuật nội soi đặt lưới 3D điều trị thoát vị bẹn ít gặp phải tình trạng đau dữ dội sau mổ, đa số BN đau nhẹ hoặc không đau sau mổ và đáp ứng tốt với thuốc giảm đau đường uống[4]. Trong nghiên cứu của Mir I.S báo cáo tỷ lệ đau mức độ nhiều sau mổ là 1,88%[5].Hầu hết nghiên cứu của các tác giả trên thế giới, thời gian nằm viện sau mổ thoát vị bẹn nội soi từ 1-2 ngày.…”