title: A new fixation-free 3D multilamellar preperitoneal implant for open inguinal hernia repair.
abstract: Between September 2014 and December 2015, 32 patients with inguinal hernia were treated using a new 3D mesh in our department. This mesh is characterized by a multilamellar flower-shaped central core with a flat, large-pore polypropylene ovoid disk that has to be implanted preperitoneally. Compared with the traditional Lichtenstein procedure, we observed a shorter mean duration of surgery and a significantly lower mean visual analogue scale (VAS) postoperative pain score recorded immediately after the procedure in the 3D mesh group. The mean VAS score recoded after 4 and 8 postoperative days showed better results in the 3D mesh group than the control group. Moreover, there was reduced postoperative morbidity in the 3D mesh group than the control group, even if no patients experienced severe complications.
authors.affiliation: From the Department of General Surgery, Sant'Andrea Hospital, Sapienza University of Rome, Italy.
authors.forename: Antonio
authors.initials: A
authors.lastname: Brescia
authors.affiliation: From the Department of General Surgery, Sant'Andrea Hospital, Sapienza University of Rome, Italy.
authors.forename: Federico
authors.initials: F
authors.lastname: Tomassini
authors.affiliation: From the Department of General Surgery, Sant'Andrea Hospital, Sapienza University of Rome, Italy.
authors.forename: Giammauro
authors.initials: G
authors.lastname: Berardi
authors.affiliation: From the Department of General Surgery, Sant'Andrea Hospital, Sapienza University of Rome, Italy.
authors.forename: Massimo
authors.initials: M
authors.lastname: Pezzatini
authors.affiliation: From the Department of General Surgery, Sant'Andrea Hospital, Sapienza University of Rome, Italy.
authors.forename: Umile Michele
authors.initials: UM
authors.lastname: Cosenza
authors.affiliation: From the Department of General Surgery, Sant'Andrea Hospital, Sapienza University of Rome, Italy.
authors.forename: Davide
authors.initials: D
authors.lastname: Castiglia
authors.affiliation: From the Department of General Surgery, Sant'Andrea Hospital, Sapienza University of Rome, Italy.
authors.forename: Anna
authors.initials: A
authors.lastname: Dall'Oglio
authors.affiliation: From the Department of General Surgery, Sant'Andrea Hospital, Sapienza University of Rome, Italy.
authors.forename: Adelona
authors.initials: A
authors.lastname: Salaj
authors.affiliation: From the Department of General Surgery, Sant'Andrea Hospital, Sapienza University of Rome, Italy.
authors.forename: Marcello
authors.initials: M
authors.lastname: Gasparrini
mesh_terms: D016022:Case-Control Studies; D006552:Hernia, Inguinal / Q000601:surgery*; D059685:Herniorrhaphy / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods*; D006801:Humans; D010043:Outcome and Process Assessment, Health Care; D011126:Polypropylenes / Q000627:therapeutic use; D013526:Surgical Mesh
chemical_list: D011126:Polypropylenes