A single-surgeon randomized trial comparing three meshes in lichtenstein hernia repair: 2- and 5-year outcome of recurrences and chronic pain.
In: International Journal of Surgery, Jg. 11 (2013), Heft 1, S. 81-84
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Abstract: Background: Chronic pain may be a major long-term problem related to mesh material and operative trauma in inguinal hernioplasty. Study design: Lichtenstein hernioplasty was performed under local anaesthesia in 312 patients by the same surgeon and technique between 2003 and 2005. The patients were randomized to receive a partly absorbable polypropylene-polyglactin mesh (Vypro II ® 50 g/m 2 , 104 hernias), a lightweight polypropylene mesh (Premilene Mesh LP ® 55 g/m 2 , 107 hernias) or a conventional densely woven polypropylene mesh (Premilene ® 82 g/m 2 , 101 hernias). The 2- and 5-year recurrences and pain scores were analysed. Results: Patient''s characteristics and the mean duration of operation (30–32 min) were similar between the three groups. After two years, there were 6 recurrences (2 in each group) of which 3 patients were re-operated. A feeling of a foreign body and sensation of pain were comparable with all meshes. After five years, overall recurrence rate was 10/312 (3.2%) with only 4 re-operations. A feeling of a foreign body (6.5–8.1%), chronic pain (13–23%) as well as use of analgesics (0–2.9%) were similar in all groups. Conclusion: There were no statistical differences between the three meshes in pain, a feeling of a foreign body or use of analgesics after 5 years of Lichtenstein hernioplasty, when the same surgeon operated all patients with exactly the same surgical technique. Clinical Trial Register: NCT01295437. [Copyright &y& Elsevier]
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A single-surgeon randomized trial comparing three meshes in lichtenstein hernia repair: 2- and 5-year outcome of recurrences and chronic pain.
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Autor/in / Beteiligte Person: | Paajanen, Hannu ; Rönkä, Kirsi ; Laurema, Anniina |
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Zeitschrift: | International Journal of Surgery, Jg. 11 (2013), Heft 1, S. 81-84 |
Veröffentlichung: | 2013 |
Medientyp: | academicJournal |
ISSN: | 1743-9191 (print) |
DOI: | 10.1016/j.ijsu.2012.11.020 |
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