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.
Laparoscopic hernia repair
mesh
poly-L-lactic acid
Journal
Northern clinics of Istanbul
ISSN: 2536-4553
Titre abrégé: North Clin Istanb
Pays: Turkey
ID NLM: 101684520
Informations de publication
Date de publication:
2019
2019
Historique:
received:
15
10
2017
accepted:
25
10
2017
entrez:
8
1
2020
pubmed:
8
1
2020
medline:
8
1
2020
Statut:
epublish
Résumé
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. 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. 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. 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.
Identifiants
pubmed: 31909385
doi: 10.14744/nci.2018.91129
pii: NCI-6-388
pmc: PMC6936939
doi:
Types de publication
Journal Article
Langues
eng
Pagination
388-392Informations de copyright
Copyright: © 2019 by Istanbul Northern Anatolian Association of Public Hospitals.
Déclaration de conflit d'intérêts
Conflict of Interest: No conflict of interest was declared by the authors.
Références
Surg Endosc. 2010 Dec;24(12):3073-9
pubmed: 20490567
J Clin Diagn Res. 2017 Jan;11(1):PC13-PC15
pubmed: 28274001
J Mater Sci Mater Med. 2007 Jun;18(6):991-9
pubmed: 17243000
Hippokratia. 2011 Jul;15(3):223-31
pubmed: 22435019
Ann R Coll Surg Engl. 2010 May;92(4):272-8
pubmed: 20501011
Int J Surg. 2013;11(1):81-4
pubmed: 23246868
World J Clin Cases. 2015 Sep 16;3(9):789-92
pubmed: 26380826
World J Surg. 2011 Feb;35(2):302-10
pubmed: 21103989
Eur J Surg. 1999 Jul;165(7):665-73
pubmed: 10452261
Int Neurourol J. 2017 Apr;21(Suppl 1):S48-54
pubmed: 28446016
Surg Endosc. 2005 Apr;19(4):536-40
pubmed: 15759178
Hernia. 2014 Oct;18(5):723-30
pubmed: 24770701
Surg Endosc. 2018 May;32(5):2222-2231
pubmed: 29075973
Br J Surg. 2004 Jan;91(1):44-8
pubmed: 14716792
Br J Surg. 2000 Jul;87(7):854-9
pubmed: 10931018
Surg Laparosc Endosc Percutan Tech. 2016 Dec;26(6):e113-e116
pubmed: 27846168
Hernia. 2018 Oct;22(5):801-812
pubmed: 29971566
Am J Surg. 2013 Jun;205(6):726-36
pubmed: 23561639
Br J Surg. 2008 Dec;95(12):1462-8
pubmed: 18991255
Hernia. 2006 Mar;10(1):34-40
pubmed: 16088358