Self-gripping lightweight polyester mesh in open inguinal hernia repair in the Philippines: a long term followup study

Michael M. Lawenko; Amabelle O. Yuga; Alyanna Dayacap; John Paul Allen Regala; Arlyn R. Canones

doi:10.18203/2349-2902.isj20184068

Authors

Michael M. Lawenko Department of Surgery, De La Salle Health Sciences Institute, Dasmarinas City, Cavite, Philippines
Amabelle O. Yuga Department of Surgery, De La Salle Health Sciences Institute, Dasmarinas City, Cavite, Philippines
Alyanna Dayacap Department of Surgery, De La Salle Health Sciences Institute, Dasmarinas City, Cavite, Philippines
John Paul Allen Regala Department of Surgery, De La Salle Health Sciences Institute, Dasmarinas City, Cavite, Philippines
Arlyn R. Canones Department of Surgery, De La Salle Health Sciences Institute, Dasmarinas City, Cavite, Philippines

DOI:

https://doi.org/10.18203/2349-2902.isj20184068

Keywords:

Inguinal hernia, Open hernia repair, Polypropylene mesh, Self-fixating mesh

Abstract

Background: Feasibility of using the self-gripping mesh in open repair of inguinal hernia in the Philippines in terms of recurrence rate, postoperative pain, operating factors and postoperative surgical complications.

Methods: Prospective observational study using of a self–gripping polyester mesh (TEM1208GR Parietex ProGrip^TM). Operative time and mesh deployment time were recorded. Assessment at 6, 12 and 24 hours after surgery for postoperative complications and pain score. Recurrence assessed one-week post op then phone interview one and two years after surgery.

Results: There were 95 participants with 99 hernias from September 2011 to March 2014. Eighty-nine participants (93.7%) were male with average age of 43 years SD ±18 (15-81). Of the 91 patients with unilateral hernia, 50 (54.9%) were right-sided. Mean deployment time was 145.33 seconds SD±38.55 (30-240). Mean operating time was 77.59 minutes SD 73.64±(22-480). Mean pain score of the patients at 6, 12 and 24 hours postoperatively are 3 SD±2.69 (0-10), 2.91 SD±2.35 (0-9) and 2.25 SD±2.06 (0-10). Intraoperative bleeding occurred two cases (2%), seroma in one patient (1%). Five cases of inguinal numbness one year after surgery; and four of them resolved spontaneously within the second year after surgery. No recurrence in 2 years-followup.

Conclusions: The use of a self-gripping mesh is feasible and safe in the Philippine setting with no recurrence after a 2 year-followup.

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References

Collaboration EUHT. Repair of groin hernia with synthetic mesh: meta-analysis of randomized controlled trials. Ann Surg. 2002;235:322-32.

Grant AM. Open mesh versus non-mesh repair of groin hernia: meta-analysis of randomised trials based on individual patient data. Hernia. 2002;6:130-6.

Nienhujis S, Staal E, Strebe L. Chronic pain after mesh repair of inguinal hernia: a systematic review. Am J Surg. 2007;194:394-400.

Matthews R, Neumayer L. Inguinal hernia in the 21st century: an evidence-based review. Curr Probl Surg. 2008;45:261-312.

Chastan P. Tension free open inguinal hernia repair using an innovative self-gripping semi-resorbable mesh. Hernia. 2009;13(2):137-42.

Kapischke M, Schulze H, Caliebe. Self-fixating mesh for the Lichtenstein procedure: a pre-study. Langenbecks Arch Surg. 2010;4:317-22.

Pierides G, Scheinin T, Remes V. Randomized comparison of self-fixating and sutured mesh in open inguinal hernia repair. Br J Surg. 2012;99(5):630-6.

Sajid MS, Leaver C, Baig MK. Systematic review and metaanalysis of the use of lightweight versus heavyweight mesh in open inguinal hernia repair. Br J Surg. 2012;99:29-37.

Jorgensen LN, Sommer T, Asaadzadeh S. Danish Multicenter DANGRIP study group. Randomised clinical trial of self-gripping mesh versus sutured mesh for Lichtenstein hernia repair. Br J Surg. 2013;100:474-81.

Molegraaf MJ, Grotenhuis B, Torensma B. The HIPPO trial, a randomized double-blind trial comparing self-gripping parietex progrip mesh and sutured parietex mesh in lichtenstein hernioplasty. Am Surg. 2017;266(6):939-45.