Laparoscopic inguinal hernia repair using an anatomically contoured three-dimensional mesh

Bell, Reginald; Price, J. G.

doi:10.1007/s00464-002-8763-4

Cited by 43 publications

(26 citation statements)

References 11 publications

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“…27 Bell et al in their study found a recurrence rate of 0.42% after 23 months of follow up. 28 The results of this study are not truly comparable to previous studies as recurrence is a late phenomenon which can be best determined by further long term follow-up studies. 27,28 Lastly, 3D mesh was found to be slightly costly in this study as is evident by the fact that 3D mesh costs twice as that of the flat mesh.…”

Section: Discussioncontrasting

confidence: 52%

“…28 The results of this study are not truly comparable to previous studies as recurrence is a late phenomenon which can be best determined by further long term follow-up studies. 27,28 Lastly, 3D mesh was found to be slightly costly in this study as is evident by the fact that 3D mesh costs twice as that of the flat mesh. However, elimination of tacks for fixation and shorter hospital stay may compensate for the increased cost of the 3D mesh.…”

Section: Discussioncontrasting

confidence: 52%

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Laparoscopic totally extraperitoneal repair of inguinal hernia using three-dimensional mesh: a 5 years experience at a tertiary care hospital in Kashmir, India

et al. 2018

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Background: Inguinal hernia repair by laparoscopy is gaining acceptance worldwide. A flat mesh used in laparoscopic inguinal hernia repair is associated with more complications especially early and late postoperative pain owing to the need of mechanical fixation of this mesh. A three-dimensional mesh in this context is an emerging alternative which needs no or minimal fixation.Methods: A retrospective study of 123 patients was carried out from July 2012 to August 2017. All patients who underwent TEP by a single surgical team using three-dimensional mesh were included in the study. Data collected was analysed retrospectively.Results: Out of a total of 123 patients, 114 patients had unilateral hernia and 9 had bilateral hernia. A total of 132 laparoscopic hernia repairs were done using three-dimensional mesh. All the patients were male aged 29 to 75 years with a mean age of 51.5 years. Indirect hernias were more common comprising of 87.7%. The mean operative time was 46.9 minutes. The average mesh fixation time was 12.6 minutes. No major intraoperative complications were noted in any of the patients. Three patients (2.45%) experienced severe postoperative pain. Most of the patients 117 (95.12%) were discharged within 24 hours of surgery. Mean hospital stay in our study was 1 day. The mean length of follow-up was 12 months. Mild persistent groin pain was found in four patients (3.25%). Seroma was noted in five patients (4.06%). Hematoma and wound infection was noted in none. One patient (0.81%) had recurrence after completion of follow up. We found use of 3D mesh costly.Conclusions: Laparoscopic inguinal mesh hernioplasty using 3D mesh is a viable alternative of hernioplasty with minimal post-operative pain and recurrence and using 3D mesh has a technical advantage of easy insertion in an anatomically correct position with minimal fixation.

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Section: Discussioncontrasting

confidence: 52%

Section: Discussioncontrasting

confidence: 52%

Laparoscopic totally extraperitoneal repair of inguinal hernia using three-dimensional mesh: a 5 years experience at a tertiary care hospital in Kashmir, India

et al. 2018

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“…31 Patients in present study were explained the cost of both meshes and were given free choice regarding the use of mesh. No doubt, the unique shape of 3D mesh is designed to conform to the inguinal anatomy, contour minimizes buckling and design reduces the need for fixation, 18 still in comparison to polypropylene mesh, 3D mesh was found to be costly in present study, as is obvious by the fact that the cost of 3D mesh is twice than that of the flat mesh. We assume that, elimination of tacks and shorter hospital stay may reduce the overall cost of laparoscopic inguinal hernia repair using 3D mesh.…”

Section: Discussionmentioning

confidence: 73%

“…Recovery is excellent even with bilateral repair or some fixation. 18 The mesh fixation time in 3D mesh was 10.6±4.31 minutes and 14.4±2.74 minutes in PP mesh. The difference was statistically significant (p value-0.0002).…”

Section: Discussionmentioning

confidence: 88%

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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“…This has prompted surgeons to take a new look at fixation of the mesh. When fixation is reduced or completely avoided, chronic pain is eliminated without increasing recurrence rates [12,16]. These newer studies suggest that the laparoscopic hernia repair may have the unexpected potential of reducing the incidence chronic pain below levels previously reported after conventional anterior repairs.…”

Section: How Far Have We Come?mentioning

confidence: 99%

Primary inguinal hernia repair: open or laparoscopic, that is the question

Mellinger

Felix

2004

Surg Endosc

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Laparoscopic inguinal hernia repair using an anatomically contoured three-dimensional mesh

Abstract: An anatomically contoured mesh for transabdominal preperitoneal hernia repair often requires no fixation, with minimal risk of neuropathy and less than a 0.5% patient-year recurrence rate. Recovery is excellent even with bilateral repair or some fixation.

Cited by 43 publications

References 11 publications

Laparoscopic totally extraperitoneal repair of inguinal hernia using three-dimensional mesh: a 5 years experience at a tertiary care hospital in Kashmir, India

Laparoscopic totally extraperitoneal repair of inguinal hernia using three-dimensional mesh: a 5 years experience at a tertiary care hospital in Kashmir, India

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

Primary inguinal hernia repair: open or laparoscopic, that is the question

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