Randomized clinical trial comparing self-gripping mesh with suture fixation of lightweight polypropylene mesh in open inguinal hernia repair  

Oleh:

Sanders, D.L. ; Nienhuijs, S. ; Ziprin, P. ; Miserez, M.

Jenis: Article from Article - diterbitkan di jurnal ilmiah internasional
Dalam koleksi: BJS: British Journal of Surgery vol. 101 no. 11 (Oct. 2014), page 1373-1382.
Topik: surgical practices; pelatihan bedah; hernia; postoperative pain; surgical infection; infeksi pasca operasi; elective neurectomy; prosthetic mesh

Ketersediaan

Perpustakaan FK Nomor Panggil: B15.K Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

Lihat Detail Induk

Isi artikel

Background Postoperative pain is an important adverse event following inguinal hernia repair. The aim of this trial was to compare postoperative pain within the first 3 months and 1 year after surgery in patients undergoing open mesh inguinal hernia repair using either a self-gripping lightweight polyester mesh or a polypropylene lightweight mesh fixed with sutures. Methods Adult men undergoing Lichtenstein repair for primary inguinal hernia were randomized to ProGrip™ self-gripping mesh or standard sutured lightweight polypropylene mesh. Results In total 557 men were included in the final analysis (self-gripping mesh 270, sutured mesh 287). Early postoperative pain scores were lower with self-gripping mesh than with sutured lightweight mesh: mean visual analogue pain score relative to baseline +1·3 and +8·6 respectively at discharge (P?=?0·033), and mean surgical pain scale score relative to baseline +4·2 and +9·7 respectively on day 7 (P?=?0·027). There was no significant difference in mid-term (1?month) and long-term (3?months and 1 year) pain scores between the groups. Surgery was significantly quicker with self-gripping mesh (mean difference 7·6?min; P?

Opini Anda

Klik untuk menuliskan opini Anda tentang koleksi ini!

Kembali