The Use of a Self-gripping Mesh in Open Inguinal Hernia Repair. A Prospective Observational Single Surgeon Study

Abstract

Background : The Lichtenstein repair is a well standardized surgical technique that can mostly be performed in day-clinic under loco-regional anesthesia. The major concern is the chronic pain reported after mesh suture fixation. We studied the practical and clinical aspects of a Lichtenstein repair using the semi-resorbable self-fixating Parietex ProGrip™ mesh.Methods : Consecutive patients with inguinal hernia were operated according to the Lichtenstein technique using Parietex ProGrip™.Complications were assessed. Pain and discomfort were evaluated at discharge, and at 1 and 4 weeks and minimum 6 months after the intervention.Results : 320 patients were included in the study. No intra-operative complications or difficulties occurred. Mean operating time was 36 minutes (range 20–65 minutes). 87.5% of the patients (280) were discharged at day of operation, 11.9% (38 patients) had an overnight stay and 0.6% (2 patients) stayed two nights. Mean number of days of analgesic use is 2.1. At the 1 week follow-up visit, minor pain or discomfort was reported by 45 patients (14%) and at 4 weeks 11 patients (3.4%) still had minor discomfort. At 6 months 1 patient suffered from persisting local numbness. Two recurrences were noted, both were re-operated.Conclusions : This observational study confirms earlier findings with this semi-resorbable self-gripping mesh regarding operation time, complications and recurrence. The open Lichtenstein hernia repair with the semi-resorbable self-gripping Parietex Progrip™ mesh seems to offer a reliable alternative for the treatment of inguinal hernia with benefits on operating time as well as on postoperative pain.