Lichtenstein technique for inguinal hernia repair using polypropylene mesh fixed with sutures vs. self-fixating polypropylene mesh: a prospective randomized comparative study
Purpose Chronic postoperative pain is probably the most significant complication of tension-free inguinal hernia repair as its presence can considerably affect the life quality of the patient. Different mesh materials and different surgical techniques for mesh fixation have been applied to reduce ch...
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| Veröffentlicht in: | Hernia : the journal of hernias and abdominal wall surgery 2014-04, Vol.18 (2), p.193-198 |
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| creator | Chatzimavroudis, G. Papaziogas, B. Koutelidakis, I. Galanis, I. Atmatzidis, S. Christopoulos, P. Doulias, T. Atmatzidis, K. Makris, J. |
| description | Purpose
Chronic postoperative pain is probably the most significant complication of tension-free inguinal hernia repair as its presence can considerably affect the life quality of the patient. Different mesh materials and different surgical techniques for mesh fixation have been applied to reduce chronic postoperative pain, with controversial, nevertheless, results. The aim of this prospective randomized study was to evaluate the effect of a relatively new mesh with self-fixating properties, used to repair inguinal hernia with the Lichtenstein technique, on early and chronic postoperative pain.
Methods
Between June 2009 and June 2010, 50 patients with primary unilateral inguinal hernia were treated using the Lichtenstein technique. Patients were randomly assigned to receive either a polypropylene mesh, fixed with polypropylene sutures (
n
= 25; group A), or a self-fixating polypropylene mesh with resorbable polylactic acid microgrips (
n
= 25; group B). Demographic data were recorded. Early and chronic postoperative pain was evaluated using the visual analog scale (VAS). Duration of surgery, complications, length of hospitalization and recurrence were also recorded.
Results
No statistical difference was found between the two groups in association to demographic data. Operating time was 53.4 ± 12.5 and 44.4 ± 7.2 min in groups A and B, respectively, and the difference was statistically significant (
p
|
| doi_str_mv | 10.1007/s10029-013-1211-7 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1511397136</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1511397136</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-40c705d355c80a34274e4900e5181629f488debd6542ff39152adab19ad13e993</originalsourceid><addsrcrecordid>eNp1kctuFDEQRVsIRELgA9ggS2yy6eDyox_sUMRLGimbZG157Oq0o25340dg-Kh8I55MQAiFjW3VPXVt162q10DPgNL2XSwr62sKvAYGULdPqmNgoqt7RsXT_bmRtehpc1S9iPGGUtqJpnteHTEhOJVtd1zdbZwZE_qY0HmS0IzefctIhiUQ56-z83oiIwbvNAm4ahdIjkUg6zLt1rCsuwk9khnjSAb3Ay357tJIYk45YCS38YxEnIa6aDo93veeaFIqcUWT3C2SoL1dZvezeJllXnXQ9-WYst29rJ4Neor46mE_qa4-fbw8_1JvLj5_Pf-wqQ1vWaoFNS2VlktpOqq5YK3AMgeKEjpoWD-IrrO4tY0UbBh4D5Jpq7fQawsc-56fVKcH3_KwMo6Y1OyiwWnSHpccFUgA3rfAm4K-_Qe9WXIoY7unKG9BdrRQcKBM-WkMOKg1uFmHnQKq9mGqQ5iqhKn2Yaq29Lx5cM7bGe2fjt_pFYAdgFgkf43hr6v_6_oLRVeuCQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1510371580</pqid></control><display><type>article</type><title>Lichtenstein technique for inguinal hernia repair using polypropylene mesh fixed with sutures vs. self-fixating polypropylene mesh: a prospective randomized comparative study</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Chatzimavroudis, G. ; Papaziogas, B. ; Koutelidakis, I. ; Galanis, I. ; Atmatzidis, S. ; Christopoulos, P. ; Doulias, T. ; Atmatzidis, K. ; Makris, J.</creator><creatorcontrib>Chatzimavroudis, G. ; Papaziogas, B. ; Koutelidakis, I. ; Galanis, I. ; Atmatzidis, S. ; Christopoulos, P. ; Doulias, T. ; Atmatzidis, K. ; Makris, J.</creatorcontrib><description>Purpose
Chronic postoperative pain is probably the most significant complication of tension-free inguinal hernia repair as its presence can considerably affect the life quality of the patient. Different mesh materials and different surgical techniques for mesh fixation have been applied to reduce chronic postoperative pain, with controversial, nevertheless, results. The aim of this prospective randomized study was to evaluate the effect of a relatively new mesh with self-fixating properties, used to repair inguinal hernia with the Lichtenstein technique, on early and chronic postoperative pain.
Methods
Between June 2009 and June 2010, 50 patients with primary unilateral inguinal hernia were treated using the Lichtenstein technique. Patients were randomly assigned to receive either a polypropylene mesh, fixed with polypropylene sutures (
n
= 25; group A), or a self-fixating polypropylene mesh with resorbable polylactic acid microgrips (
n
= 25; group B). Demographic data were recorded. Early and chronic postoperative pain was evaluated using the visual analog scale (VAS). Duration of surgery, complications, length of hospitalization and recurrence were also recorded.
Results
No statistical difference was found between the two groups in association to demographic data. Operating time was 53.4 ± 12.5 and 44.4 ± 7.2 min in groups A and B, respectively, and the difference was statistically significant (
p
< 0.001). No difference was observed between the groups regarding the postoperative complications. The VAS of early postoperative pain was 1.7 ± 1.9 in group A and 1.3 ± 1.6 in group B, with the difference being not statistically significant (
p
= 0.21). Concerning chronic pain, no remarkable statistically significant difference was observed between the two groups at 3-month, 1- and 2-year follow-up period. At the end of the study, no recurrence was reported in either group.
Conclusions
Self-fixating mesh can be safely and effectively used in inguinal hernia repair with the additional advantage of reducing the operative time compared to the classic Lichtenstein technique. However, its use is not accompanied by reduced rates in early or chronic postoperative pain.</description><identifier>ISSN: 1265-4906</identifier><identifier>EISSN: 1248-9204</identifier><identifier>DOI: 10.1007/s10029-013-1211-7</identifier><identifier>PMID: 24430578</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Abdominal Surgery ; Female ; Hernia, Inguinal - surgery ; Herniorrhaphy - methods ; Humans ; Lactic Acid ; Length of Stay - statistics & numerical data ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Operative Time ; Original Article ; Pain Measurement ; Pain, Postoperative - epidemiology ; Pain, Postoperative - prevention & control ; Polyesters ; Polymers ; Polypropylenes ; Postoperative Complications - epidemiology ; Prospective Studies ; Recurrence ; Surgical Mesh ; Suture Techniques ; Treatment Outcome</subject><ispartof>Hernia : the journal of hernias and abdominal wall surgery, 2014-04, Vol.18 (2), p.193-198</ispartof><rights>Springer-Verlag France 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-40c705d355c80a34274e4900e5181629f488debd6542ff39152adab19ad13e993</citedby><cites>FETCH-LOGICAL-c372t-40c705d355c80a34274e4900e5181629f488debd6542ff39152adab19ad13e993</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10029-013-1211-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10029-013-1211-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24430578$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chatzimavroudis, G.</creatorcontrib><creatorcontrib>Papaziogas, B.</creatorcontrib><creatorcontrib>Koutelidakis, I.</creatorcontrib><creatorcontrib>Galanis, I.</creatorcontrib><creatorcontrib>Atmatzidis, S.</creatorcontrib><creatorcontrib>Christopoulos, P.</creatorcontrib><creatorcontrib>Doulias, T.</creatorcontrib><creatorcontrib>Atmatzidis, K.</creatorcontrib><creatorcontrib>Makris, J.</creatorcontrib><title>Lichtenstein technique for inguinal hernia repair using polypropylene mesh fixed with sutures vs. self-fixating polypropylene mesh: a prospective randomized comparative study</title><title>Hernia : the journal of hernias and abdominal wall surgery</title><addtitle>Hernia</addtitle><addtitle>Hernia</addtitle><description>Purpose
Chronic postoperative pain is probably the most significant complication of tension-free inguinal hernia repair as its presence can considerably affect the life quality of the patient. Different mesh materials and different surgical techniques for mesh fixation have been applied to reduce chronic postoperative pain, with controversial, nevertheless, results. The aim of this prospective randomized study was to evaluate the effect of a relatively new mesh with self-fixating properties, used to repair inguinal hernia with the Lichtenstein technique, on early and chronic postoperative pain.
Methods
Between June 2009 and June 2010, 50 patients with primary unilateral inguinal hernia were treated using the Lichtenstein technique. Patients were randomly assigned to receive either a polypropylene mesh, fixed with polypropylene sutures (
n
= 25; group A), or a self-fixating polypropylene mesh with resorbable polylactic acid microgrips (
n
= 25; group B). Demographic data were recorded. Early and chronic postoperative pain was evaluated using the visual analog scale (VAS). Duration of surgery, complications, length of hospitalization and recurrence were also recorded.
Results
No statistical difference was found between the two groups in association to demographic data. Operating time was 53.4 ± 12.5 and 44.4 ± 7.2 min in groups A and B, respectively, and the difference was statistically significant (
p
< 0.001). No difference was observed between the groups regarding the postoperative complications. The VAS of early postoperative pain was 1.7 ± 1.9 in group A and 1.3 ± 1.6 in group B, with the difference being not statistically significant (
p
= 0.21). Concerning chronic pain, no remarkable statistically significant difference was observed between the two groups at 3-month, 1- and 2-year follow-up period. At the end of the study, no recurrence was reported in either group.
Conclusions
Self-fixating mesh can be safely and effectively used in inguinal hernia repair with the additional advantage of reducing the operative time compared to the classic Lichtenstein technique. However, its use is not accompanied by reduced rates in early or chronic postoperative pain.</description><subject>Abdominal Surgery</subject><subject>Female</subject><subject>Hernia, Inguinal - surgery</subject><subject>Herniorrhaphy - methods</subject><subject>Humans</subject><subject>Lactic Acid</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Operative Time</subject><subject>Original Article</subject><subject>Pain Measurement</subject><subject>Pain, Postoperative - epidemiology</subject><subject>Pain, Postoperative - prevention & control</subject><subject>Polyesters</subject><subject>Polymers</subject><subject>Polypropylenes</subject><subject>Postoperative Complications - epidemiology</subject><subject>Prospective Studies</subject><subject>Recurrence</subject><subject>Surgical Mesh</subject><subject>Suture Techniques</subject><subject>Treatment Outcome</subject><issn>1265-4906</issn><issn>1248-9204</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kctuFDEQRVsIRELgA9ggS2yy6eDyox_sUMRLGimbZG157Oq0o25340dg-Kh8I55MQAiFjW3VPXVt162q10DPgNL2XSwr62sKvAYGULdPqmNgoqt7RsXT_bmRtehpc1S9iPGGUtqJpnteHTEhOJVtd1zdbZwZE_qY0HmS0IzefctIhiUQ56-z83oiIwbvNAm4ahdIjkUg6zLt1rCsuwk9khnjSAb3Ay357tJIYk45YCS38YxEnIa6aDo93veeaFIqcUWT3C2SoL1dZvezeJllXnXQ9-WYst29rJ4Neor46mE_qa4-fbw8_1JvLj5_Pf-wqQ1vWaoFNS2VlktpOqq5YK3AMgeKEjpoWD-IrrO4tY0UbBh4D5Jpq7fQawsc-56fVKcH3_KwMo6Y1OyiwWnSHpccFUgA3rfAm4K-_Qe9WXIoY7unKG9BdrRQcKBM-WkMOKg1uFmHnQKq9mGqQ5iqhKn2Yaq29Lx5cM7bGe2fjt_pFYAdgFgkf43hr6v_6_oLRVeuCQ</recordid><startdate>20140401</startdate><enddate>20140401</enddate><creator>Chatzimavroudis, G.</creator><creator>Papaziogas, B.</creator><creator>Koutelidakis, I.</creator><creator>Galanis, I.</creator><creator>Atmatzidis, S.</creator><creator>Christopoulos, P.</creator><creator>Doulias, T.</creator><creator>Atmatzidis, K.</creator><creator>Makris, J.</creator><general>Springer Paris</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20140401</creationdate><title>Lichtenstein technique for inguinal hernia repair using polypropylene mesh fixed with sutures vs. self-fixating polypropylene mesh: a prospective randomized comparative study</title><author>Chatzimavroudis, G. ; Papaziogas, B. ; Koutelidakis, I. ; Galanis, I. ; Atmatzidis, S. ; Christopoulos, P. ; Doulias, T. ; Atmatzidis, K. ; Makris, J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-40c705d355c80a34274e4900e5181629f488debd6542ff39152adab19ad13e993</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Abdominal Surgery</topic><topic>Female</topic><topic>Hernia, Inguinal - surgery</topic><topic>Herniorrhaphy - methods</topic><topic>Humans</topic><topic>Lactic Acid</topic><topic>Length of Stay - statistics & numerical data</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Operative Time</topic><topic>Original Article</topic><topic>Pain Measurement</topic><topic>Pain, Postoperative - epidemiology</topic><topic>Pain, Postoperative - prevention & control</topic><topic>Polyesters</topic><topic>Polymers</topic><topic>Polypropylenes</topic><topic>Postoperative Complications - epidemiology</topic><topic>Prospective Studies</topic><topic>Recurrence</topic><topic>Surgical Mesh</topic><topic>Suture Techniques</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chatzimavroudis, G.</creatorcontrib><creatorcontrib>Papaziogas, B.</creatorcontrib><creatorcontrib>Koutelidakis, I.</creatorcontrib><creatorcontrib>Galanis, I.</creatorcontrib><creatorcontrib>Atmatzidis, S.</creatorcontrib><creatorcontrib>Christopoulos, P.</creatorcontrib><creatorcontrib>Doulias, T.</creatorcontrib><creatorcontrib>Atmatzidis, K.</creatorcontrib><creatorcontrib>Makris, J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Hernia : the journal of hernias and abdominal wall surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chatzimavroudis, G.</au><au>Papaziogas, B.</au><au>Koutelidakis, I.</au><au>Galanis, I.</au><au>Atmatzidis, S.</au><au>Christopoulos, P.</au><au>Doulias, T.</au><au>Atmatzidis, K.</au><au>Makris, J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Lichtenstein technique for inguinal hernia repair using polypropylene mesh fixed with sutures vs. self-fixating polypropylene mesh: a prospective randomized comparative study</atitle><jtitle>Hernia : the journal of hernias and abdominal wall surgery</jtitle><stitle>Hernia</stitle><addtitle>Hernia</addtitle><date>2014-04-01</date><risdate>2014</risdate><volume>18</volume><issue>2</issue><spage>193</spage><epage>198</epage><pages>193-198</pages><issn>1265-4906</issn><eissn>1248-9204</eissn><abstract>Purpose
Chronic postoperative pain is probably the most significant complication of tension-free inguinal hernia repair as its presence can considerably affect the life quality of the patient. Different mesh materials and different surgical techniques for mesh fixation have been applied to reduce chronic postoperative pain, with controversial, nevertheless, results. The aim of this prospective randomized study was to evaluate the effect of a relatively new mesh with self-fixating properties, used to repair inguinal hernia with the Lichtenstein technique, on early and chronic postoperative pain.
Methods
Between June 2009 and June 2010, 50 patients with primary unilateral inguinal hernia were treated using the Lichtenstein technique. Patients were randomly assigned to receive either a polypropylene mesh, fixed with polypropylene sutures (
n
= 25; group A), or a self-fixating polypropylene mesh with resorbable polylactic acid microgrips (
n
= 25; group B). Demographic data were recorded. Early and chronic postoperative pain was evaluated using the visual analog scale (VAS). Duration of surgery, complications, length of hospitalization and recurrence were also recorded.
Results
No statistical difference was found between the two groups in association to demographic data. Operating time was 53.4 ± 12.5 and 44.4 ± 7.2 min in groups A and B, respectively, and the difference was statistically significant (
p
< 0.001). No difference was observed between the groups regarding the postoperative complications. The VAS of early postoperative pain was 1.7 ± 1.9 in group A and 1.3 ± 1.6 in group B, with the difference being not statistically significant (
p
= 0.21). Concerning chronic pain, no remarkable statistically significant difference was observed between the two groups at 3-month, 1- and 2-year follow-up period. At the end of the study, no recurrence was reported in either group.
Conclusions
Self-fixating mesh can be safely and effectively used in inguinal hernia repair with the additional advantage of reducing the operative time compared to the classic Lichtenstein technique. However, its use is not accompanied by reduced rates in early or chronic postoperative pain.</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>24430578</pmid><doi>10.1007/s10029-013-1211-7</doi><tpages>6</tpages></addata></record> |
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| ispartof | Hernia : the journal of hernias and abdominal wall surgery, 2014-04, Vol.18 (2), p.193-198 |
| issn | 1265-4906 1248-9204 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals |
| subjects | Abdominal Surgery Female Hernia, Inguinal - surgery Herniorrhaphy - methods Humans Lactic Acid Length of Stay - statistics & numerical data Male Medicine Medicine & Public Health Middle Aged Operative Time Original Article Pain Measurement Pain, Postoperative - epidemiology Pain, Postoperative - prevention & control Polyesters Polymers Polypropylenes Postoperative Complications - epidemiology Prospective Studies Recurrence Surgical Mesh Suture Techniques Treatment Outcome |
| title | Lichtenstein technique for inguinal hernia repair using polypropylene mesh fixed with sutures vs. self-fixating polypropylene mesh: a prospective randomized comparative study |
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