Swing mesh versus Modified Kugel mesh for primary inguinal hernia repair. A prospective randomized clinical trial.

Zhiyuan Zhou,Shanghai Jiao Tong University, China ,Yan Gu,Xingchen Hu,Beili Zhang,Jiao Tong University, China ,Fudan University, China

doi:10.1590/s0102-865020160120000009

Zhiyuan Zhou, Shanghai Jiao Tong University, China + Show 5 more

Open Access

https://doi.org/10.1590/s0102-865020160120000009

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Journal: Acta Cirurgica Brasileira	Publication Date: Dec 1, 2016
Citations: 1	License type: cc-by

Affiliation: Huadong Hospital, Fudan University

Abstract

To evaluate the safety and efficacy of a new mesh in the pre-peritoneal repair of inguinal hernia. We randomly divided 120 patients undergoing pre-peritoneal repair into 2 groups between March 2012 and December 2013. The patients were randomized to receive the Swing mesh (n=60; study group) or the Modified Kugel mesh (n=60; control group). The primary end point of this study was to compare postoperative groin pain of the two groups. Complications, recurrence and analgesic use were also recorded. There were no recurrent cases in either group throughout the study period. There was no significant difference between the groups with respect to postoperative complications. The VAS of early postoperative pain was 1.32±1.69 in study group and 1.52±1.93 in control group, with the difference being not statistically significant (p = 0.547). Concerning chronic pain, no remarkable statistically significant difference was observed between the two groups at 3-month, 6-month, 12- and 18-month follow-up period. Swing mesh can be safely and effectively used in inguinal hernia repair with the same advantage compared to the Modified Kugel mesh.

Highlights

Adult inguinal hernia is a commonly encountered disease in general surgery
There were no significant differences in the demographic variables between the allocated groups
The visual analog scale (VAS) score was measured in millimeters from the left end of the line to the point indicated by the patient

Summary

Introduction

The main treatment of inguinal hernia is tension-free repair surgery using a mesh[1,2]. Pre-peritoneal repair surgery has played a large role in the management of inguinal hernia with few complications and less postoperative chronic pain in recent years[3]. In this procedure, a mesh is placed in a deep position located between the peritoneum and the abdominal wall and secured over the musculoaponeurotic[4]. The Modified Kugel hernia repair through the pre-peritoneal space for inguinal hernias has become widespread. There are a number of studies that have confirmed the therapeutic effects of Modified Kugel hernia repair, especially with the reduction of complications and chronic pain[8,9,10]

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