title: Long-Term Outcome After Laparoscopic Repair of Primary, Unilateral Inguinal Hernia Using a Self-Adhering Mesh.
abstract: Following our previous study about a lightweight self-adhering mesh (Adhesix®, Cousin Biotech, Wervicq-Sud, France; distributed by Davol Inc., subsidiary of C.R. Bard, Inc.), we report the long-term results with the use of this mesh in patients treated for a primary, unilateral inguinal hernia without any other hernias. Prospectively collected data of 100 patients between February 2011 and February 2014 were analyzed. The mean follow-up time was 2.7 years (range 1-4), and mean length of hospital stay was 0.6 days (range 0.5-1). At the time of the last follow-up visit, two patients (2%) had a recurrent inguinal hernia. Compared to preoperative values, patients reported a significant reduction in their pain sensation (visual analogue scale, VAS) after one month (4.61 vs. 1.32; P<0.001). A difference in VAS scores remained significant at the last follow-up visit (1.31 vs. 0.28; P<0.001). Patients reported high quality of life scores. Only one patient (1%) developed a clinically significant seroma that required an evacuating puncture. Two patients (2%) had superficial wound infections. Neither mesh infections nor mortalities occurred. This study, with a long follow-up, confirms our previous results: use of the Adhesix® mesh is safe, feasible, and efficient in laparoscopic hernia repair.
authors.affiliation: Department of General and Abdominal Surgery, Imelda Hospital, Bonheiden, Belgium.
authors.forename: Tim
authors.initials: T
authors.lastname: Tollens
authors.affiliation: Department of General and Abdominal Surgery, Imelda Hospital, Bonheiden, Belgium.
authors.forename: Halit
authors.initials: H
authors.lastname: Topal
authors.affiliation: Department of General and Abdominal Surgery, Imelda Hospital, Bonheiden, Belgium.
authors.forename: Alexander
authors.initials: A
authors.lastname: Lucardie
authors.affiliation: Department of General and Abdominal Surgery, Imelda Hospital, Bonheiden, Belgium.
authors.forename: Koen
authors.initials: K
authors.lastname: Vermeiren
authors.affiliation: Department of General and Abdominal Surgery, Imelda Hospital, Bonheiden, Belgium.
authors.forename: Chris
authors.initials: C
authors.lastname: Aelvoet
authors.affiliation: Department of General and Abdominal Surgery, Imelda Hospital, Bonheiden, Belgium.
authors.forename: Kurt
authors.initials: K
authors.lastname: Devroe
mesh_terms: D005602:France; D006552:Hernia, Inguinal / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D010149:Postoperative Pain; D011788:Quality of Life; D012008:Recurrence; D013526:Surgical Mesh; D016896:Treatment Outcome