Three-year results of a randomized study comparing self-gripping mesh with sutured mesh in open inguinal hernia repair

Nikkolo, Ceith; Vaasna, T.; Murruste, Marko; Suumann, Jaanus; Kirsimägi, Ülle; Seepter, H.; Tein, Andres; Lepner, Urmas

doi:10.1016/j.jss.2016.10.010

Cited by 19 publications

(12 citation statements)

References 18 publications

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“…A previous series documented a high recurrence rate in patients treated with ProGrip™ self‐gripping mesh compared with suture fixation at 3 years of follow‐up, although a high rate of loss to follow‐up affected the analysis. Another study reported no recurrences in the ProGrip™ self‐gripping group after 3 years, but these results should be further validated. There were no significant differences in rates of other complications such as haematomas, seromas or surgical‐site infection between glue and self‐gripping fixation methods compared with suture fixation.…”

Section: Discussionmentioning

confidence: 89%

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Meta‐analysis of postoperative pain using non‐sutured or sutured single‐layer open mesh repair for inguinal hernia

et al. 2019

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Background Chronic postoperative pain occurs in up to 21·7 per cent of patients undergoing open inguinal hernia repair. Several mesh fixation techniques using glue or self‐gripping meshes have been developed to reduce postoperative pain. The aim of this meta‐analysis was to evaluate RCTs comparing adhesional/self‐gripping and sutured single‐layer open mesh fixations in the repair of inguinal herniation, with postoperative pain as endpoint. Methods PubMed, Embase and Cochrane CENTRAL databases were searched systematically for RCTs according to the PRISMA guidelines; the study was registered at PROSPERO (CRD42017056373). Different fixation methods were analysed. The primary outcome, chronic pain, was defined as a postoperative visual analogue scale (VAS) score of at least 3 at 12 months. Secondary outcomes were mean VAS score at 1 week and at 1 month after surgery. Results Twenty‐three studies including 5190 patients were included in the meta‐analysis. Adhesional (self‐adhering or glued) or self‐gripping fixation methods were associated with a significantly lower VAS score at 1 week (mean difference –0·49, 95 per cent c.i. ‐0·81 to –0·17; P = 0·003) and at 1 month (mean difference –0·31, –0·58 to –0·04; P = 0·02) after surgery than suture fixation, but the incidence of chronic pain after 12 months was similar in the two groups (odds ratio 0·70, 95 per cent c.i. 0·30 to 1·66). Differences in recurrences and complications between groups did not reach statistical significance. Conclusion There was no difference in the incidence of chronic pain 12 months after different mesh repair fixation techniques despite significant reductions in short‐term postoperative pain favouring a non‐sutured technique. There were no differences in recurrence rates or in rates of other complications at 1 year.

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Section: Discussionmentioning

confidence: 89%

“…Of 2682 articles identified by the literature search, 51 were selected for full‐text assessment and 29 articles met the inclusion criteria. After removing duplicate articles, 25 were included in the meta‐analysis, representing 23 studies ( Fig . ).…”

Section: Resultsmentioning

confidence: 99%

Meta‐analysis of postoperative pain using non‐sutured or sutured single‐layer open mesh repair for inguinal hernia

et al. 2019

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“…Thus inguinal herniorrhaphy is amongst the most frequent operations in general surgery (1), the choice for the ideal procedure continues to be an unconsentaneous issue (1,2). Due to the low recurrence margins and low incidence of complications, Lichtenstein tension-free mesh augmented hernioplasty has been accepted as the standard procedure in inguinal hernioplasty2, apparently causing fade in hernia recurrence rates (1)(2)(3). Moreover, the rates of chronic postoperative groin pain after a three month-postoperative period are still substantial.…”

Section: Introductionmentioning

confidence: 99%

Lichtenstein Gerilimsiz Herniorafi Sonrası Kronik Kasik Ağrısını Önlemede Hafif, Kendinden Kavrayan Ağ Etkili Midir?

Turhan¹,

Yıldız

Akduran

et al. 2021

Harran Üniversitesi Tıp Fakültesi Dergisi

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Background: Inguinal hernia repair is among the most frequent elective or emergency operations performed in general surgical practice. Lichtenstein hernia repair is considered the gold standard for managing such cases. Postoperative complications especially post-surgical chronic groin pain stands still as a very disabling complication. In this study, we investigated the chronic postoperative pain on 2 different types of meshes. Materials and Methods: This is a retrospective study evaluating the results of open herniorrhaphy with self gripping mesh or regular prolene mesh. Patients included the study that was male and aged 18-65 years, which presented with unilateral inguinal hernia and were favorable with Lichtenstein tension-free herniorrhaphy using mesh. Results: The median duration of the operation was 44.6 m ± 6.1 on Group-1 and the median duration of the operation was 24.6 m ± 5.4 on Group-2, as significantly shorter than Group-1 (p< 0.001). The median hospital stay of the patients was 1 day and no statistically significant difference has detected between groups. At follow-up on the third month, the rate of the patients with complaints of mild chronic groin pain in Group-1 was % 11.1 vs none in Group-2(p˂0.05). No recurrence has been detected in both groups after 8.4 months of follow-up. Conclusions: Our experience of lightwight self-gripping mesh demonstrates that the material is both safe and effective in matters of postoperative complications and recurrence and is very promising in prohibiting chronic groin pain.

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“…Tension-free mesh-augmented procedures have become the technique of choice for hernia repair, which is one of the most common operations worldwide (Fortelny et al 2014; Nikkolo et al 2017; Percalli et al 2018). While the use of meshes significantly reduced the rate of hernia recurrence, chronic postoperative pain remains a major complication after mesh repair, with rates of almost 30% of the patients (Bay-Nielsen et al 2001).…”

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confidence: 99%

“…Up to 10% of the patients suffer from severe pain, which results in impaired quality of life (Bay-Nielsen et al 2001). Although the exact reason for the postoperative pain is still not entirely known, it is assumed that it stems from entrapment of peripheral nerves by penetrating fixation devices such as clips, sutures, and tacks (Kohler et al 2016; Nikkolo et al 2017; Takata et al 2016). This understanding has led to the development of new fixation modalities including absorbable sutures, glue fixation, and self-gripping meshes (Kohler et al 2016; Miserez et al 2014).…”

mentioning

confidence: 99%

Biodegradability and Safety Study of LifeMesh™, a Novel Self-adhesive Mesh, in Sprague-Dawley Rats

Ramot

Kronfeld²,

Steiner³

et al. 2019

Toxicol Pathol

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Self-adhesive meshes are being developed to avoid complications due to traumatic fixation methods. LifeMesh™ is a novel selfadhesive mesh with a biodegradable gelatin adhesive layer developed for hernia repair. The aim of this study was to assess the safety and biodegradability of LifeMesh in Sprague-Dawley (SD) rats for 6 weeks, in comparison to a bare polypropylene (BPP) mesh fixed with sutures. LifeMesh was tolerated well and its implantation did not result in any adverse local reaction, and its adhesive layer was substantially degraded after 4 weeks. Histopathological examination revealed that the presence of the adhesive contributed to a uniform thickness of the granulation tissue surrounding the mesh, in contrast to a nonuniform granulation tissue with BPP. Nonuniform granulation tissue suggests that there will be poorer integration of the mesh to the abdominal wall. The use of LifeMesh also resulted in less adhesions of internal organs with a smaller surface area of involvement. These findings lend support to the potential benefit of LifeMesh for hernia repair in humans and expand the available information on the typical histopathological findings expected with biodegradable implants in the peritoneal cavity of SD rats.

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Three-year results of a randomized study comparing self-gripping mesh with sutured mesh in open inguinal hernia repair

Cited by 19 publications

References 18 publications

Meta‐analysis of postoperative pain using non‐sutured or sutured single‐layer open mesh repair for inguinal hernia

Meta‐analysis of postoperative pain using non‐sutured or sutured single‐layer open mesh repair for inguinal hernia

Lichtenstein Gerilimsiz Herniorafi Sonrası Kronik Kasik Ağrısını Önlemede Hafif, Kendinden Kavrayan Ağ Etkili Midir?

Biodegradability and Safety Study of LifeMesh™, a Novel Self-adhesive Mesh, in Sprague-Dawley Rats

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