Three-year results of a randomized clinical trial of lightweight or standard polypropylene mesh in Lichtenstein repair of primary inguinal hernia
- 24 July 2006
- journal article
- research article
- Published by Oxford University Press (OUP) in British Journal of Surgery
- Vol. 93 (9), 1056-1059
- https://doi.org/10.1002/bjs.5403
Abstract
Background This randomized trial examined whether lightweight (LW) polypropylene mesh (large pore size, partially absorbable) could have long-term benefits in reducing chronic pain and inflammation after inguinal hernia repair. Methods Six hundred men with a primary unilateral inguinal hernia were randomized to Lichtenstein repair using a standard polypropylene mesh or a LW mesh in one of six centres. The patients were blinded to which mesh they received. Clinical examination was performed and a pain questionnaire completed 3 years after surgery. Results Of the 590 men who had surgery, 243 (82·7 per cent) of 294 in the standard mesh group and 251 (84·8 per cent) of 296 in the LW mesh group were examined in the clinic, a median of 37 (range 30-48) months after hernia repair. There were nine recurrent hernias in each group (3·7 per cent with standard mesh and 3·6 per cent with LW mesh). Patients who had LW mesh had less pain on examination, less pain on rising from lying to sitting, fewer miscellaneous groin problems and felt the mesh less often than patients with standard mesh. Conclusion Use of LW mesh for Lichtenstein hernia repair did not affect recurrence rates, but improved some aspects of pain and discomfort 3 years after surgery.This publication has 10 references indexed in Scilit:
- One year results of a randomised controlled multi-centre study comparing Prolene and Vypro II-mesh in Lichtenstein hernioplastyHernia, 2005
- Herniorrhaphy With Polypropylene Mesh Causing Inguinal Vasal ObstructionAnnals of Surgery, 2005
- Randomized clinical trial assessing impact of a lightweight or heavyweight mesh on chronic pain after inguinal hernia repairBritish Journal of Surgery, 2004
- Early results of a single-blinded, randomized, controlled, Internet-based multicenter trial comparing Prolene and Vypro II mesh in Lichtenstein hernioplastyHernia, 2003
- Randomized clinical trial of lightweight composite mesh for Lichtenstein inguinal hernia repairBritish Journal of Surgery, 2003
- Operative findings in recurrent hernia after a Lichtenstein procedureThe American Journal of Surgery, 2001
- Pain and Functional Impairment 1 Year After Inguinal Herniorrhaphy: A Nationwide Questionnaire StudyAnnals of Surgery, 2001
- Mesh compared with non-mesh methods of open groin hernia repair: systematic review of randomized controlled trialsBritish Journal of Surgery, 2000
- Foreign Body Reaction to Meshes Used for the Repair of Abdominal Wall HerniasBritish Journal of Surgery, 1999
- Mesh inguinodynia: a new clinical syndrome after inguinal herniorrhaphy?Journal of the American College of Surgeons, 1998