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TEP With Long-Term Resorbable Mesh in Patients With Indirect Inguinal Hernia
BACKGROUND AND OBJECTIVES: The role of long-term degradable implants in reducing the risk of chronic postoperative pain after inguinal hernia repair is still unclear. A pilot study using a synthetic long-term resorbable mesh in Lichtenstein repair showed good results regarding pain and discomfort in...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Society of Laparoendoscopic Surgeons
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5814104/ https://www.ncbi.nlm.nih.gov/pubmed/29472759 http://dx.doi.org/10.4293/JSLS.2017.00076 |
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author | Ruiz-Jasbon, Fernando Ticehurst, Kristina Ahonen, Jukka Norrby, Jonny Ivarsson, Marie-Lois |
author_facet | Ruiz-Jasbon, Fernando Ticehurst, Kristina Ahonen, Jukka Norrby, Jonny Ivarsson, Marie-Lois |
author_sort | Ruiz-Jasbon, Fernando |
collection | PubMed |
description | BACKGROUND AND OBJECTIVES: The role of long-term degradable implants in reducing the risk of chronic postoperative pain after inguinal hernia repair is still unclear. A pilot study using a synthetic long-term resorbable mesh in Lichtenstein repair showed good results regarding pain and discomfort in patients with indirect inguinal hernia (IH) without recurrences, but higher recurrence rate in patients with direct inguinal hernia (DH). The purpose of this study was to assess the incidence of pain and early recurrence in patients with LIH surgically treated with the TEP technique using a long-term degradable mesh. This is the first human study to use long-term degradable mesh with the TEP approach. METHODS: This study was prospective, including 35 primary IHs surgically treated with TEP repair using TIGR Mesh (Novus Scientific Pte, Ltd, Singapore). At the 1-year follow-up recurrence was assessed by clinical examination and the incidence of pain or discomfort was assessed before and after surgery by Visual Analog Scale (VAS) and Inguinal Pain Questionnaire (IPQ). RESULTS: After 12 months, no patients had chronic pain. Only 1 (2.8%) patient reported pain using the VAS (score = 2), and 4 patients reported pain that could easily be ignored. All 4 patients reported less pain 1 year after the operation using both IPQ and VAS, compared with the preoperative assessment. One patient (2.8%) developed a recurrence 20 months after the primary operation. CONCLUSION: TEP repair using a synthetic long-term resorbable mesh was found to be safe and promising regarding pain and discomfort at 1-year follow-up in patients with IH. Longer follow-up is necessary to establish the risk of recurrence. |
format | Online Article Text |
id | pubmed-5814104 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Society of Laparoendoscopic Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-58141042018-02-22 TEP With Long-Term Resorbable Mesh in Patients With Indirect Inguinal Hernia Ruiz-Jasbon, Fernando Ticehurst, Kristina Ahonen, Jukka Norrby, Jonny Ivarsson, Marie-Lois JSLS Scientific Paper BACKGROUND AND OBJECTIVES: The role of long-term degradable implants in reducing the risk of chronic postoperative pain after inguinal hernia repair is still unclear. A pilot study using a synthetic long-term resorbable mesh in Lichtenstein repair showed good results regarding pain and discomfort in patients with indirect inguinal hernia (IH) without recurrences, but higher recurrence rate in patients with direct inguinal hernia (DH). The purpose of this study was to assess the incidence of pain and early recurrence in patients with LIH surgically treated with the TEP technique using a long-term degradable mesh. This is the first human study to use long-term degradable mesh with the TEP approach. METHODS: This study was prospective, including 35 primary IHs surgically treated with TEP repair using TIGR Mesh (Novus Scientific Pte, Ltd, Singapore). At the 1-year follow-up recurrence was assessed by clinical examination and the incidence of pain or discomfort was assessed before and after surgery by Visual Analog Scale (VAS) and Inguinal Pain Questionnaire (IPQ). RESULTS: After 12 months, no patients had chronic pain. Only 1 (2.8%) patient reported pain using the VAS (score = 2), and 4 patients reported pain that could easily be ignored. All 4 patients reported less pain 1 year after the operation using both IPQ and VAS, compared with the preoperative assessment. One patient (2.8%) developed a recurrence 20 months after the primary operation. CONCLUSION: TEP repair using a synthetic long-term resorbable mesh was found to be safe and promising regarding pain and discomfort at 1-year follow-up in patients with IH. Longer follow-up is necessary to establish the risk of recurrence. Society of Laparoendoscopic Surgeons 2018 /pmc/articles/PMC5814104/ /pubmed/29472759 http://dx.doi.org/10.4293/JSLS.2017.00076 Text en © 2018 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/us/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way. |
spellingShingle | Scientific Paper Ruiz-Jasbon, Fernando Ticehurst, Kristina Ahonen, Jukka Norrby, Jonny Ivarsson, Marie-Lois TEP With Long-Term Resorbable Mesh in Patients With Indirect Inguinal Hernia |
title | TEP With Long-Term Resorbable Mesh in Patients With Indirect Inguinal Hernia |
title_full | TEP With Long-Term Resorbable Mesh in Patients With Indirect Inguinal Hernia |
title_fullStr | TEP With Long-Term Resorbable Mesh in Patients With Indirect Inguinal Hernia |
title_full_unstemmed | TEP With Long-Term Resorbable Mesh in Patients With Indirect Inguinal Hernia |
title_short | TEP With Long-Term Resorbable Mesh in Patients With Indirect Inguinal Hernia |
title_sort | tep with long-term resorbable mesh in patients with indirect inguinal hernia |
topic | Scientific Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5814104/ https://www.ncbi.nlm.nih.gov/pubmed/29472759 http://dx.doi.org/10.4293/JSLS.2017.00076 |
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