Laparoscopic inguinal hernioplasty. Repair with a conventional vs a new self-expandable mesh.
Laparoscopic hernioplasty was performed in a prospective fashion in 100 inguinal hernias in 66 patients. When available, a self-expanding prosthesis of Mersilene, strengthened with a cross- or star-shaped wire of Nitinol, was used without fixation (group B, 43 hernias). When this prosthesis was not available, a "classic" Prolene prosthesis was used, placed preperitoneally, and stapled according to the technique of Corbitt (group A, 57 hernias). This study compares the results of the two techniques. The use of a mesh-expanding Nitinol frame significantly shortens the operating time. Since two recurrences appeared in this group, we suggest that this modified mesh should also be stapled in place.
Himpens
J M
JM
Department of General Surgery, Algemene Kliniek H. Familie, Gent, Belgium.
D000497:Alloys; D005260:Female; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D011093:Polyethylene Terephthalates; D011126:Polypropylenes; D011183:Postoperative Complications / Q000453:epidemiology; D011446:Prospective Studies; D019736:Prostheses and Implants; D012008:Recurrence; D013526:Surgical Mesh; D013528:Surgical Staplers; D013997:Time Factors
D000497:Alloys; D011093:Polyethylene Terephthalates; D011126:Polypropylenes; C025539:Lavsan; C013616:nitinol