Risk factors for reoperation following inguinal hernia repair: results from a cohort of patients from an integrated healthcare system

Park, Cheryl L.; Chan, P. H.; Prentice, H. A.; Sucher, K.; Brill, E. R.; Paxton, E. W.; Laxa, B.

doi:10.1007/s10029-023-02922-9

Cited by 7 publications

(1 citation statement)

References 39 publications

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“…However, if all trials have used fibrin glue with an optimal application method, namely, the spraying technique, the results might have been different. Several factors are associated with the recurrence of inguinal hernia 34 , 35 . However, a secure mesh fixation should be ensured to prevent recurrence.…”

Section: Discussionmentioning

confidence: 99%

Impact of different fibrin glue application methods on inguinal hernia mesh fixation capability

Takegawa,

Tsutsumi,

Yamanaka

et al. 2024

Sci Rep

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The use of fibrin glue for inguinal hernia mesh fixation has been suggested to be effective in preventing hematomas and reducing postoperative pain compared to tacks and sutures.. The effect of fibrin glue can vary significantly based on the device used. This study assessed the efficacy of fibrin glue based on the type of devices used in an ex vivo system. The rabbit’s abdominal wall was trimmed to a size of 3.0 × 6.0 cm and was secured at the edges with metal fixtures. To measure the maximum tensile strength at the point of adhesion failure, the hernia mesh was fixed to the rabbit’s abdominal wall using fibrin glue in a 2 cm square area, left for 3 min, and then pulled at a speed of 50 cm/min. The test was conducted 10 times for each group. The median (minimum–maximum) tensile strength values using the spraying, two-liquid mixing, and sequential layering methods were 3.58 (1.99–4.95), 0.51 (0.27–1.89), and 1.32 (0.63–1.66) N, respectively. The spraying method had predominantly higher tensile strength values than the two-liquid mixing and sequential layering methods (P < 0.01). In conclusion, in hernia mesh fixation, the spraying method can be adopted to achieve appropriate adhesive effects.

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Section: Discussionmentioning

confidence: 99%

Impact of different fibrin glue application methods on inguinal hernia mesh fixation capability

Takegawa,

Tsutsumi,

Yamanaka

et al. 2024

Sci Rep

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Inguinal hernia recurrence after laparoscopic mesh removal for chronic pain: a single-center experience with 11 years of practice

Chaoui,

Rops,

van Dijk

et al. 2024

Surg Endosc

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Is mesh pore size in polypropylene meshes associated with the outcome in Lichtenstein inguinal hernia repair: a registry-based analysis of 22,141 patients

Albrecht,

Trawa,

Köckerling

et al. 2024

Hernia

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Introduction Experimental data show that large-pored meshes reduce foreign body reaction, inflammation and scar bridging and thus improve mesh integration. However, clinical data on the effect of mesh porosity on the outcome of hernioplasty are limited. This study investigated the relation of pore size in polypropylene meshes to the outcome of Lichtenstein inguinal hernioplasty using data from the Herniamed registry. Methods This analysis of data from the Herniamed registry evaluated perioperative and 1-year follow-up outcomes in patients undergoing elective, primary, unilateral Lichtenstein inguinal hernia repair using polypropylene meshes. Patients operated with a non-polypropylene mesh or a polypropylene mesh with absorbable components were excluded. Polypropylene meshes with a pore size of 1.0 × 1.0 mm or less were defined as small-pored meshes, while a pore size of more than 1.0 × 1.0 mm was considered large-pored. Unadjusted analyses and multivariable analyses were performed to investigate the relation of pore size of polypropylene meshes, patient and surgical characteristics to the outcome parameters. Results Data from 22,141 patients were analyzed, of which 6853 (31%) were operated on with a small-pore polypropylene mesh and 15,288 (69%) with a large-pore polypropylene mesh. No association of mesh pore size with intraoperative, general or postoperative complications, recurrence rate or pain requiring treatment was found at 1-year follow-up. A lower risk of complication-related reoperation tended to be associated with small-pore size (p = 0.086). Furthermore, small-pore mesh repair was associated with a lower risk of pain at rest and pain on exertion at 1-year follow-up. Conclusion The present study could not demonstrate an advantage of large-pore polypropylene meshes for the outcome of Lichtenstein inguinal hernioplasty.

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Risk factors for reoperation following inguinal hernia repair: results from a cohort of patients from an integrated healthcare system

Cited by 7 publications

References 39 publications

Impact of different fibrin glue application methods on inguinal hernia mesh fixation capability

Impact of different fibrin glue application methods on inguinal hernia mesh fixation capability

Inguinal hernia recurrence after laparoscopic mesh removal for chronic pain: a single-center experience with 11 years of practice

Is mesh pore size in polypropylene meshes associated with the outcome in Lichtenstein inguinal hernia repair: a registry-based analysis of 22,141 patients

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