Self-gripping polyester mesh with absorbable polylactic acid microhook versus polypropylene mesh for open inguinal hernioplasty

Minesh L. Sindhal, D. B. Choksi, Arnab Sarkar, Akshay Sutariya


Background: Inguinal hernias are frequently encountered disease. The hernia surgery has gone through a major evolution from Bassini’s heralding of the modern era to today’s mesh-based open and laparoscopic repair. The Purpose of this study is to compare clinical outcomes following sutureless repair with Self gripping polyester mesh incorporating absorbable polylactic acid microhook (Progrip) to traditional Lichtenstein repair with polypropylene mesh secured with sutures for open inguinal hernioplasty.

Methods: 60 patients with diagnosis of inguinal hernia underwent open hernioplasty, after being randomized into two groups, one half of them using Progrip mesh and other group, using Polypropylene mesh over a period of one year at Department of General Surgery at Sir Sayajirao Gaekwad (SSG) Hospital, Baroda. Operative data were recorded, and the patients were followed-up accordingly. Independent assessors were assigned to obtain post-operative pain scores, other secondary outcomes.

Results: The present study concluded that Self gripping mesh (ProgripTM) repair is superior to Polypropylene mesh in short term outcomes and in certain long-term outcomes like chronic groin pain.

Conclusions: Open Inguinal hernioplasty using Self Gripping mesh (Progrip) mesh has better outcome in terms of operative time, post-operative pain, hospital stay, early return to professional life, and chronic pain.


Open hernioplasty, Operative time, Progrip mesh, Polypropylene mesh, Post-operative pain

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Ersoz F, Culcu S, Duzkoylu Y, Bektas H, Sari S, Arikan S, et al. The comparison of Lichtenstein procedure with and without mesh-fixation for inguinal hernia repair. Surgery Res Pract. 2016;2016.

Lockhart K, Teo E, Teo S, Dhillon M, van Driel M. Mesh versus non-mesh for inguinal and femoral hernia repair. Coch Database Sys Rev. 2015;2015(2).

Wagner J, Brunicardi F, Amid P, Chen D. Inguinal Hernias. In: Schwartz S, Brunicardi F, Andersen D, Billiar T, Dunn D, Hunter J, ed. Schwartz's Principles of Surgery. 10th ed. New York: McGraw-Hill Education; 2015;1495-1516.

Chastan P. Tension-free open hernia repair using an innovative self-gripping semi-resorbable mesh. Hernia. 2008;13(2):137-42.

Das S. A manual on Clinical Surgery. 6th ed. S Das Publication, Calcutta, India; 2004.

Fischer JE. Introduction to Hernia Section. In: Skandalakies JE, Skandalakies LJ, Celtrom GL, Androulakis J, McClusky DA III, Skandalakies PN, et al, eds. Mastery of Surgery. 5th ed Lippincott: Williams and Wilkins; 2007:1857-1859.

Taylor, O'Dwyer. Chronic groin sepsis following tension-free inguinal hernioplasty. Br J Surg. 1999;86(4):562-5.

Sanders D, Nienhuijs S, Ziprin P, Miserez M, Gingell-Littlejohn M, Smeds S. Randomized clinical trial comparing self-gripping mesh with suture fixation of lightweight polypropylene mesh in open inguinal hernia repair. Br J Surg. 2014;101(11):1373-82.

Jorgensen L, Sommer T, Assaadzadeh S, Strand L, Dorfelt A, Hensler M, et al. Randomized clinical trial of self-gripping mesh versus sutured mesh for Lichtenstein hernia repair. Br J Surg. 2012;100(4):474-81.

Yilmaz A, Yener O, Kaynak B, Yiğitbaşı R, Demir M, Burcu B, et al. Self-gripping Covidien™ ProGrip™ Mesh versus polypropylene mesh in open inguinal hernia repair: multicenter short term results. Prague Med Rep. 2013;114(4):231-8.

Chastan P. Tension-free open hernia repair using an innovative self-gripping semi-resorbable mesh. Hernia. 2008;13(2):137-42.

International Association for the study of pain. Classification of Chronic Pain. 2nd Edition. IASP 2011. Available at Accessed 7 August 2018.

Dmitry M, Fleming A. Pain assessment: review of current tools. practical pain management. 2018. Available at assessment-review-current-tools Accessed 7 August 2018

Wall P, Melzack R. Textbook of pain. 4th ed. Edinburgh: Churchill Livingstone; 1999.