Composite polypropylene mesh versus lightweight polypropylene mesh: The TAPP repair for laparoscopic inguinal hernia repair

Bangash, Adil; Khan, Nadim; Sadiq, Muzaffaruddin

doi:10.4103/0974-5009.101843

Cited by 7 publications

(5 citation statements)

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“…B Adil et al, reported a mesh fixation time of 21.3±4.8 minutes for polypropylene mesh in TAPP repair. 19 We believe that this difference in fixation time in present study is attributed to easy insertion through the port, easy intraoperative handling, and easy unfolding of 3D mesh. Further the placement of 3D mesh over the defect is easy owing to its preformed configuration.…”

Section: Discussionmentioning

confidence: 88%

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

et al. 2017

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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.

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Section: Discussionmentioning

confidence: 88%

“…The frequency of seroma formation was higher in the composite polypropylene group (6.25%). 19 Chalkoo M et al, conducted a prospective study on laparoscopic transabdominal preperitoneal mesh hernioplasty. A 15cm×12cm polypropylene mesh was used in all cases in their study.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2017

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“…According to Bangash et al In Group A versus Group B, mean score of visual analogue for postoperative pain at day 7.0 was 1.073 versus 1.31 (P = 0.0007) these results are similar to the findings of our study as in our study there was significant difference in the VAS pain score in both the groups. Another study found that slippage of the implanted mesh & also the pull of surrounding tissues could be causes of chronic pain or an increased risk of recurrence 7 .…”

Section: Discussionmentioning

confidence: 99%

“…In a local study, there were no significant difference were found regarding chronic pain experienced beyond 6 months with LWM 6.25% while with HWM 15.62% which was statically significant. 7 According to a study done by Lee et al the mean pain score on - ---------------------------------------------------------------------------------------Received on 07-11-2021 Accepted on 27-05-2022 LWM v/s HMW was 0.46±0.78 v/s 0.96±0.82 respectively with p= 0.027 at 3 months 8 .…”

Section: Introductionmentioning

confidence: 99%

Comparison of mean Postoperative Inguinodynia in patients undergoing open Inguinal Hernia Surgery with use of standard Polypropylene Heavy Weight Mesh v/s Ultra Pro light Weight Mesh

Awais¹,

Rafi²,

Naeem³

et al. 2022

PJMHS

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Background: Various types of meshes for inguinal hernias have been discovered to combat with chronic groin pain related problems. The data regarding these findings was variable due to difference in the cut off values used in the past in different studies to label inguinodynia and local data was scarce where HWM is still highly practiced. Aim: To compare the mean postoperative inguinodynia in patients undergoing open inguinal hernia surgery with use of standard polypropylene heavy weight mesh (HWM) v/s Ultra Pro lightweight mesh (LWM). Methodology: This is a prospective randomized controlled trail conducted at department of surgery, Services Institute of Medical Sciences, from July 2019 to June 2020. Cases were divided in two groups by using radio opaque sealed envelopes labeled as A and B. Group-A underwent Lichtenstein mesh repair by Ultra Pro LWM and group B had polypropylene heavy weight mesh (HWM). Lichtenstein mesh repair was done under spinal or general anesthesia by the experienced surgeon. Duration of surgery was also calculated (from incision to closure). Patient was followed in outpatient department at 3 months where the outcome was seen and inguinodynia was assessed. Results: The mean age was in group A was 40.66±10.52 years and 40.53 ±12.56 years in group B. The mean pain Score in group A was 2.024±0.88 and in Group-B it was 2.97 ±0.85. Conclusion: Ultra Pro LWM is more effective in terms of less postoperative pain as compared to standard polypropylene heavy weight mesh in patients undergoing open inguinal hernia surgery Keywords: Postoperative, Inguinodynia, Inguinal hernia, Standard, Polypropylene heavy weight mesh, Ultra Pro light

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“…When two groups were evaluated regarding seroma/hematoma, early and late results were statistically less significant in PLL-PP group (First day- 47 (22.3%) vs 26 (10.1%), Third month- 16 (7.6%) vs 6 (2.3%), Group 1 vs Group 2). Bangash et al [21] compared composite polypropylene and polypropylene patch in randomized research and found that the PP group had more seroma. In a recent review with big case series concluded no risk factor in this about patch type [22].…”

Section: Discussionmentioning

confidence: 99%

Early results of comparison of polypropylene mesh and 75% resorbable mesh (monofilament polypropylene and poly-L-lactic acid (PLLA) mesh) for laparoscopic total extraperitoneal (TEP) inguinal hernia repair

Ağca

İşcan

Memışoğlu

2019

North Clin Istanbul

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OBJECTIVE:Laparoscopic totally extraperitoneal (TEP) hernia repair has become increasingly widespread. Faster recovery than conventional open methods shortens the return to work. Polypropylene (PP) mesh is still in use in hernia surgery because it is an inexpensive and easily accessible patch. The post-operative chronic pain and foreign body sensation are the disadvantages of these PP patches. Poly-L-lactic acid and polypropylene (PLLA) were used in this study because of the good biocompatibility and low tissue inflammation response. We compared the early clinical outcomes of PP patch and PLLA patches.METHODS:Between January 2013 and April, 2018,469 patients with inguinal hernia underwent TEP procedure. Patients were divided into two groups. PP mesh (n=211) in group 1, PLLA mesh (n=258) in group 2. Patients were compared regarding age, gender, hernia side, ASA scores, the duration of operation, pain, time to return to work, the sensation of foreign body, seroma and hematoma.RESULTS:A total of 469 patients were analyzed retrospectively (426 male, 43 female). The mean age was 52.23±13.66 years. The operative times of the patients were 40.92±8.9 minutes in group 1, and 38.82±8.5 minutes in group 2 (p<0.05). The time to return to work was 10.2±1.47 days in Group 1 and 8.4±1.0 days in Group 2 (p<0.05). Visual Analog Scale (VAS) in group 2 was lower than in group 1 (p<0.005). In group 2, the feeling of the organic body decreased in the early and late period (p<0.005). Seroma and hematoma were less in Group 2 than in Group 1 (p<0.005). The mean follow-up period of the patients was 18 (3-63) months, two patients in Group 1, two patients in Group 2 recurred.CONCLUSION:The PLLA patch used in the TEP method is thought to be a herniated patch that can be safely used because of its ease of application and less postoperative complication rates and more rapid return to work.

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Composite polypropylene mesh versus lightweight polypropylene mesh: The TAPP repair for laparoscopic inguinal hernia repair

Cited by 7 publications

References 0 publications

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

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

Comparison of mean Postoperative Inguinodynia in patients undergoing open Inguinal Hernia Surgery with use of standard Polypropylene Heavy Weight Mesh v/s Ultra Pro light Weight Mesh

Early results of comparison of polypropylene mesh and 75% resorbable mesh (monofilament polypropylene and poly-L-lactic acid (PLLA) mesh) for laparoscopic total extraperitoneal (TEP) inguinal hernia repair

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