title: ULTRAPRO Hernia System versus lichtenstein repair in treatment of primary inguinal hernias: a prospective randomized controlled study.
abstract: The Lichtenstein repair has been recommended as the gold standard for inguinal hernia repair. However, postoperative discomfort still constitutes a concern and an area for improvement. New mesh materials have been continuously introduced to achieve this goal. The goal of the present study was to investigate the outcomes of ULTRAPRO Hernia System (UHS) compared with Lichtenstein mesh repair. A total of 99 male patients with primary unilateral inguinal hernia were included in the study during the period of September 2010-January 2012. Patients with body mass index>30, comorbid diseases, and anesthetic risk of ASA-III and ASA-IV were excluded. The patients were randomly allocated to operation with the Lichtenstein technique (group L) or UHS. Demographics, operative and postoperative/recovery data, and short- and medium-term outcomes of the patients were recorded. A total of 50 patients in group L and 49 patients in group UHS were analyzed. The median follow-up time for the study was 33 months. There were no significant differences regarding demographics, complications, and rehabilitation between the groups. Overall, there was a prolonged operation time in the UHS group compared with the L group (UHS: 53.7±5.7 minutes; L: 44.5±5.5 minutes; P<0.001). UHS may provide results similar to those for the Lichtenstein technique in open repair of inguinal hernias regarding perioperative course, complications, recovery, and recurrence rates. However, because of reduced costs and the lack of need for the exploration of the preperitoneal space, we conclude that the Lichtenstein technique should be recommended as the first choice.
authors: 1 General Surgery Department, Numune Training and Research Hospital, Adana, Turkey.
authors: Faruk
authors: F
authors: Karateke
authors: Sefa
authors: S
authors: Ozyazici
authors: Ebru
authors: E
authors: Menekse
authors: Hatice
authors: H
authors: Özdogan
authors: Mevlüt
authors: M
authors: Kunt
authors: Hilmi
authors: H
authors: Bozkurt
authors: İlhan
authors: İ
authors: Bali
authors: Mehmet
authors: M
authors: Özdogan
mesh_terms: D000328:Adult; D000368:Aged; D006552:Hernia, Inguinal / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D011446:Prospective Studies; D013526:Surgical Mesh; D016896:Treatment Outcome
keywords: Chronic pain; Inguinal hernia; Lichtenstein; Mesh; Operation time; Repair