title: Lightweight Titanium-coated Mesh Versus Standard-Weight Polypropylene Mesh in Totally Extraperitoneal Inguinal Hernia Repair (TEP): A Cohort Analysis.
abstract: OBJECTIVE
  The study objective is to compare the outcomes of laparoscopic to tally extraperitoneal repair using the standard-weight polypropylene mesh or a lightweight titanium-coated mesh.
  
  
  METHODS
  A retrospective review was conducted on 138 adult patients with unilateral inguinal hernias, who underwent totally extraperitoneal inguinal hernia repair between 2010 and 2013 using either a standard-weight polypropylene mesh (Prolene mesh, 80 g/m) or a lightweight titanium-coated mesh (Ti Mesh light, 35 g/m).
  
  
  RESULTS
  There was no difference in reported pain at 24 hours postoperatively. The difference in reported pain at follow-up (mean: 21 mo) was insignificant [PP vs. Ti: 7.8% (n=5) vs. 8.3% (n=3), P=0.92], the differences regarding chronic inguinal pain was also insignificant [PP vs. Ti: 14% (n=9) vs. 5.5% (n=2), P=0.191], and there was no difference in the development of hernia recurrence [PP vs. Ti: 1.5% (n=1) vs. 0, P=0.42].
  
  
  CONCLUSIONS
  No statistically significant differences of the overall postoperative outcome were observed between the 2 mesh types.
authors.affiliation: Department of Surgery, Katholisches Klinikum Oberhausen, Teaching Hospital of the University of Duisburg-Essen, Oberhausen, Germany.
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Prassas
authors.forename: Thomas-Marten
authors.initials: TM
authors.lastname: Rolfs
authors.forename: Nishank
authors.initials: N
authors.lastname: Sirothia
authors.forename: Franz-Josef
authors.initials: FJ
authors.lastname: Schumacher
mesh_terms: D000328:Adult; D020099:Coated Materials, Biocompatible; D005260:Female; D005500:Follow-Up Studies; D006552:Hernia, Inguinal / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010537:Peritoneum; D011126:Polypropylenes; D011446:Prospective Studies; D011474:Prosthesis Design; D011788:Quality of Life; D013526:Surgical Mesh; D013997:Time Factors; D014025:Titanium; D016896:Treatment Outcome
chemical_list: D020099:Coated Materials, Biocompatible; D011126:Polypropylenes; D014025:Titanium