Evaluation of light weight large pore mesh versus heavy weight small pore mesh in total extraperitoneal repair of inguinal hernia: A prospective randomized study

BACKGROUND: The type of mesh to be used in laparoscopic groin hernia repair has always been debatable whether to use lightweight (LW) or heavyweight (HW) mesh. The study compares the lightweight large pore mesh with HW small pore mesh in total extraperitoneal groin (TEP) hernia repair and its outcom...

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Main Authors: Sarabjit Singh, Kiranjot Rana, Bhupinder S Walia, Vivek Pahuja, Pankaj Dugg
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:International Journal of Abdominal Wall and Hernia Surgery
Subjects:
Online Access:http://www.herniasurgeryjournal.org/article.asp?issn=2589-8736;year=2023;volume=6;issue=1;spage=37;epage=43;aulast=Singh
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author Sarabjit Singh
Kiranjot Rana
Bhupinder S Walia
Vivek Pahuja
Pankaj Dugg
author_facet Sarabjit Singh
Kiranjot Rana
Bhupinder S Walia
Vivek Pahuja
Pankaj Dugg
author_sort Sarabjit Singh
collection DOAJ
description BACKGROUND: The type of mesh to be used in laparoscopic groin hernia repair has always been debatable whether to use lightweight (LW) or heavyweight (HW) mesh. The study compares the lightweight large pore mesh with HW small pore mesh in total extraperitoneal groin (TEP) hernia repair and its outcome. MATERIALS AND METHODS: A total of 50 patients, who met the inclusion criteria, were randomized in the two groups. In group I (n = 25) LW large pore mesh (pore size 1 mm) was used whereas in group II (n = 25) HW small pore mesh (pore size < 0.65 mm) was used. Outcomes were observed with respect to complications, recurrence, and patient satisfaction. Statistical analysis was performed using χ2 test and student t test. RESULTS: Mean age of the patients group I was 45 ± 18.52 while in group II it was 48.88 ± 20.529 years. The complication rates were comparable between the two groups. However, seroma formation was higher in group II. The occurrence of groin pain and foreign body sensation between the two groups was comparable after 6-month follow-up. No recurrence was reported in either of the groups. CONCLUSION: Although there was no significant difference between the two groups, but the present study showed some advantage of LW mesh over HW weight mesh in TEP with respect to complications and patient satisfaction.
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spelling doaj.art-9168c30b6f6a4caa91d15ba04af078332023-05-18T06:17:11ZengWolters Kluwer Medknow PublicationsInternational Journal of Abdominal Wall and Hernia Surgery2589-87362589-80782023-01-0161374310.4103/ijawhs.ijawhs_1_23Evaluation of light weight large pore mesh versus heavy weight small pore mesh in total extraperitoneal repair of inguinal hernia: A prospective randomized studySarabjit SinghKiranjot RanaBhupinder S WaliaVivek PahujaPankaj DuggBACKGROUND: The type of mesh to be used in laparoscopic groin hernia repair has always been debatable whether to use lightweight (LW) or heavyweight (HW) mesh. The study compares the lightweight large pore mesh with HW small pore mesh in total extraperitoneal groin (TEP) hernia repair and its outcome. MATERIALS AND METHODS: A total of 50 patients, who met the inclusion criteria, were randomized in the two groups. In group I (n = 25) LW large pore mesh (pore size 1 mm) was used whereas in group II (n = 25) HW small pore mesh (pore size < 0.65 mm) was used. Outcomes were observed with respect to complications, recurrence, and patient satisfaction. Statistical analysis was performed using χ2 test and student t test. RESULTS: Mean age of the patients group I was 45 ± 18.52 while in group II it was 48.88 ± 20.529 years. The complication rates were comparable between the two groups. However, seroma formation was higher in group II. The occurrence of groin pain and foreign body sensation between the two groups was comparable after 6-month follow-up. No recurrence was reported in either of the groups. CONCLUSION: Although there was no significant difference between the two groups, but the present study showed some advantage of LW mesh over HW weight mesh in TEP with respect to complications and patient satisfaction.http://www.herniasurgeryjournal.org/article.asp?issn=2589-8736;year=2023;volume=6;issue=1;spage=37;epage=43;aulast=Singhinguinal herniapainrecurrencesurgical mesh
spellingShingle Sarabjit Singh
Kiranjot Rana
Bhupinder S Walia
Vivek Pahuja
Pankaj Dugg
Evaluation of light weight large pore mesh versus heavy weight small pore mesh in total extraperitoneal repair of inguinal hernia: A prospective randomized study
International Journal of Abdominal Wall and Hernia Surgery
inguinal hernia
pain
recurrence
surgical mesh
title Evaluation of light weight large pore mesh versus heavy weight small pore mesh in total extraperitoneal repair of inguinal hernia: A prospective randomized study
title_full Evaluation of light weight large pore mesh versus heavy weight small pore mesh in total extraperitoneal repair of inguinal hernia: A prospective randomized study
title_fullStr Evaluation of light weight large pore mesh versus heavy weight small pore mesh in total extraperitoneal repair of inguinal hernia: A prospective randomized study
title_full_unstemmed Evaluation of light weight large pore mesh versus heavy weight small pore mesh in total extraperitoneal repair of inguinal hernia: A prospective randomized study
title_short Evaluation of light weight large pore mesh versus heavy weight small pore mesh in total extraperitoneal repair of inguinal hernia: A prospective randomized study
title_sort evaluation of light weight large pore mesh versus heavy weight small pore mesh in total extraperitoneal repair of inguinal hernia a prospective randomized study
topic inguinal hernia
pain
recurrence
surgical mesh
url http://www.herniasurgeryjournal.org/article.asp?issn=2589-8736;year=2023;volume=6;issue=1;spage=37;epage=43;aulast=Singh
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