title: Polyglactine/polypropylene mesh vs. propylene mesh: is there a need for newer prosthesis in inguinal hernia?
abstract: OBJECTIVE
  To compare outcomes of light and heavy weight mesh for repair of inguinal hernia.
  
  
  METHODS
  This study was conducted at the Department of Surgery; Lady Reading Hospital, Peshawar from January 1, 2007 to December 31, 2008. Patients were divided into two groups based on the type of mesh implanted for inguinal hernia repair. Group 1 included patients in whom light weight composite (VyproII ) mesh is implanted: Group 2 included patients in whom polypropylene (Prolene R ) mesh is implanted. Data concerning the complications and post operative pain in the perioperative and postoperative period were collected and analyzed. Categorical data were presented as percentages with 95% confidence intervals and compared using a chi2 test and P 0.05 were considered significant.
  
  
  RESULTS
  Following allocation and exclusion of violating cases, 111 patients in group 1 and 138 patients in group 2 were analyzed. The mean age in group 1 was 38.20 +/- 13.34 years and in group 2 was 39.55 +/- 13.70 (P = 0.434). In group 1, hematoma formation was observed in four cases (3.6%), while it was observed in six cases (4.2%) in group 2 (P = 0.766). During the entire study, ten patients in all developed urinary retention, three of which required transient catheterization. One year post operation, there was a recurrence in only five cases overall, while only two patients complained of pain (P = 0.826).
  
  
  CONCLUSIONS
  The frequency of postoperative pain and complications in patients was similar in both groups.
authors.affiliation: Department of Surgery, Postgraduate Medical Institute, Lady Reading Hospital, Peshawar, Pakistan.
authors.forename: Nadim
authors.initials: N
authors.lastname: Khan
authors.forename: Adil
authors.initials: A
authors.lastname: Bangash
authors.forename: Muzaffaruddin
authors.initials: M
authors.lastname: Sadiq
authors.forename: Ain
authors.initials: A
authors.lastname: Ul Hadi
authors.forename: Haris
authors.initials: H
authors.lastname: Hamid
mesh_terms: D000328:Adult; D005260:Female; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011098:Polyglactin 910 / Q000627:therapeutic use; D011126:Polypropylenes / Q000627:therapeutic use; D012008:Recurrence; D013526:Surgical Mesh; D016896:Treatment Outcome
chemical_list: D011126:Polypropylenes; D011098:Polyglactin 910