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Erschienen in:
01.04.2009 | Original Article
Tension-free open hernia repair using an innovative self-gripping semi-resorbable mesh
Erschienen in: Hernia | Ausgabe 2/2009
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Background
Lichtenstein tension-free mesh repair is the most commonly used technique for the open treatment of inguinal hernia. Mesh fixation and the potential risk of associated pain are always a surgical concern. The aim of this study was to report the initial clinical experience using an innovative, partly resorbable mesh with self-gripping properties.
Methods
Fifty-two patients (70 hernias) underwent open Lichtenstein hernia repair with Parietene® Progrip (Sofradim Production, Trévoux, France—Group Covidien). Patient pain as measured by a visual analogue scale (VAS) was the primary study endpoint. Clinical evaluation, with careful attention to the identification of hernia recurrence, was performed at 1 month and 1 year. The evaluation of fixation precision, quality of fixation and ease of use was assessed by the primary surgeon.
Results
The mean patient pain was 1.3 (±1.4) at discharge, 0.1 (±0.4) at 1 month and 0.0 (±0.1) (one patient with VAS 1/10) at 1 year, respectively. The mean operative time was 19 ± 4 min. There was one minor cutaneous infection and no documented recurrence. The quality of the gripping effect was rated very good in 51 (98.1%) of the cases performed.
Conclusion
The use of a novel low-density, macroporous mesh with semi-resorbable self-fixing properties during tension-free repair may be a satisfactory solution to the clinical problems of pain and recurrence following inguinal herniorrhaphy.