DOI: http://dx.doi.org/10.18203/2349-2902.isj20184068

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

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 ProGripTM). 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.


Keywords


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

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