Tension-free open hernia repair using an innovative self-gripping semi-resorbable mesh.
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.


CONCLUSIONS
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.
Chastan
P
P
Polyclinique Bordeaux Rive Droite, Rue Edouard Herriot, 33310 Lormont, France. Chastan@wanadoo.fr
D000758:Anesthesia / Q000379:methods; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D010149:Postoperative Pain / Q000453:epidemiology*; D011126:Polypropylenes; D011446:Prospective Studies; D011474:Prosthesis Design; D019919:Prosthesis Implantation / Q000379:methods*; D020127:Recovery of Function; D012008:Recurrence; D013526:Surgical Mesh
D011126:Polypropylenes