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...
Main Authors: | , , , , |
---|---|
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 |
_version_ | 1797824185292029952 |
---|---|
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. |
first_indexed | 2024-03-13T10:35:11Z |
format | Article |
id | doaj.art-9168c30b6f6a4caa91d15ba04af07833 |
institution | Directory Open Access Journal |
issn | 2589-8736 2589-8078 |
language | English |
last_indexed | 2024-03-13T10:35:11Z |
publishDate | 2023-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | International Journal of Abdominal Wall and Hernia Surgery |
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 |
work_keys_str_mv | AT sarabjitsingh evaluationoflightweightlargeporemeshversusheavyweightsmallporemeshintotalextraperitonealrepairofinguinalherniaaprospectiverandomizedstudy AT kiranjotrana evaluationoflightweightlargeporemeshversusheavyweightsmallporemeshintotalextraperitonealrepairofinguinalherniaaprospectiverandomizedstudy AT bhupinderswalia evaluationoflightweightlargeporemeshversusheavyweightsmallporemeshintotalextraperitonealrepairofinguinalherniaaprospectiverandomizedstudy AT vivekpahuja evaluationoflightweightlargeporemeshversusheavyweightsmallporemeshintotalextraperitonealrepairofinguinalherniaaprospectiverandomizedstudy AT pankajdugg evaluationoflightweightlargeporemeshversusheavyweightsmallporemeshintotalextraperitonealrepairofinguinalherniaaprospectiverandomizedstudy |