Top

Langenbeck's Archives of Surgery

Published in:

01-02-2021 | Original Article

A registry-based 2-year follow-up comparative study of two meshes used in transinguinal preperitoneal (TIPP) groin hernia repair

Authors: J. F. Gillion, M. Soler, J. M. Chollet, the Club-Hernie members

Published in: Langenbeck's Archives of Surgery | Issue 1/2021

Abstract

Purpose

Onflex™ mesh has replaced Polysoft™ patch on the market, without being clinically evaluated thus far in the transinguinal preperitoneal (TIPP) technique.

Methods

All consecutive TIPP registered in our registry during the overlap period of availability of both meshes were included and studied with the chronic postoperative inguinal pain (CPIP) as primary endpoint, assessed with a verbal rating scale (VRS), and included in a patient-related outcome measurement (PROM) phone questionnaire.

Results

A total of 181 Onflex cases vs 182 Polysoft cases were studied with a 2-year follow-up rate of 92% vs 88%. The overall rate of pain or discomfort was not statistically different in the 2 studied subgroups (16.5% vs 17.6%; p = 0.71), while moderate or severe pain were significantly more frequent in the Polysoft subgroup (5.5% vs 11.6%; p = 0.01). These symptoms did not interfere with the patient daily life in 16% vs 16.5% of cases, and they were self-assessed as more bothersome than the hernia in only 0.5% vs 0.5% of cases, suggesting an overestimation of the pain by the VRS. Patients assessed the result of their hernia repair as excellent or good in 97.8% vs 96.7% and medium or bad in 2.2% vs 3.3% (p = 0.53). The cumulative recurrence rate was 0% vs 2.2%. Two reoperations (one for early and one for late recurrence) were reported in the Polysoft subgroup (1%), none related to the non-absorbable memory ring.

Conclusions

These results suggest that TIPP with Onflex provides results at least similar than those with Polysoft.

Stoppa RE, Rives JL, Warlaumont CR, Palot JP, Verhaeghe PJ, Delattre JF (1984) The use of Dacron in the repair of hernias of the groin. Surg Clin North Am 64(2):269–285. https://doi.org/10.1016/s0039-6109(16)43284-6CrossRefPubMed

Read RC, Barone GW, Hauer-Jensen M, Yoder G (1993) Properitoneal prosthetic placement through the groin. The anterior (Mahorner-Goss, Rives-Stoppa) approach. Surg Clin North Am 73(3):545–555. https://doi.org/10.1016/s0039-6109(16)46036-6CrossRefPubMed

Alexandre JH, Bouillot JL, Dupin P, Aouad K, Bethoux JP (2006) Cure of inguinal hernias with large preperitoneal prosthesis: experience of 2,312 cases. J Minim Access Surg 2(3):134–138. https://doi.org/10.4103/0972-9941.27725CrossRefPubMedPubMedCentral

Ugahary A, Ugahary F (2010) Technique De Grid-Iron Ugahary®. In: Vidèo-Atlas Chirurgie Herniaire Tome 1. Springer, Paris. Vidèo-Atlas Chirurgie Herniaire Tome 1 Springer, Paris: Springer, Paris; 2010

Lange JF, Lange MM, Voropai DA, van Tilburg MW, Pierie JP, Ploeg RJ et al (2014) Trans rectus sheath extra-peritoneal procedure (TREPP) for inguinal hernia: the first 1,000 patients. World J Surg 38(8):1922–1928. https://doi.org/10.1007/s00268-014-2475-5CrossRefPubMed

Kugel RD (2003) The Kugel repair for groin hernias. Surg Clin North Am 83(5):1119–1139. https://doi.org/10.1016/S0039-6109(03)00123-3CrossRefPubMed

Pelissier EP, Blum D, Marre P, Damas JM (2001) Inguinal hernia: a patch covering only the myopectineal orifice is effective. Hernia. 5(2):84–87. https://doi.org/10.1007/s100290100002CrossRefPubMed

Lourenco A, da Costa RS (2013) The ONSTEP inguinal hernia repair technique: initial clinical experience of 693 patients, in two institutions. Hernia. 17(3):357–364. https://doi.org/10.1007/s10029-013-1057-zCrossRefPubMed

Alexandre JH, Dupin P, Levard H, Billebaud T (1984) Treatment of inguinal hernia with unsplit mersylene prosthesis. Significance of the parietalization of the spermatic cord and the ligation of epigastric vessels. Presse Med 13(3):161–163PubMed

10.

Berrevoet F, Maes L, Reyntjens K, Rogiers X, Troisi R, de Hemptinne B (2010) Transinguinal preperitoneal memory ring patch versus Lichtenstein repair for unilateral inguinal hernias. Langenbeck's Arch Surg 395(5):557–562. https://doi.org/10.1007/s00423-009-0544-2CrossRef

11.

Berrevoet F, Vanlander A, Bontinck J, Troisi RI (2013) Open preperitoneal mesh repair of inguinal hernias using a mesh with nitinol memory frame. Hernia. 17(3):365–371. https://doi.org/10.1007/s10029-013-1110-yCrossRefPubMed

12.

Rosenberg J, Andresen K (2018) Open new simplified totally extraperitoneal (ONSTEP) technique for inguinal hernia repair. In: Campanelli G (ed) The art of hernia surgery. Springer International Publishing AG, pp 301–306. https://doi.org/10.1007/978-3-319-72626-7_30

13.

Pelissier EP, Monek O, Blum D, Ngo P (2007) The Polysoft patch: prospective evaluation of feasibility, postoperative pain and recovery. Hernia. 11(3):229–234. https://doi.org/10.1007/s10029-007-0203-xCrossRefPubMed

14.

Pelissier EP (2006) Inguinal hernia: preperitoneal placement of a memory-ring patch by anterior approach. Preliminary experience. Hernia 10(3):248–252. https://doi.org/10.1007/s10029-006-0079-1CrossRefPubMed

15.

Gillion JF, Chollet JM (2013) Chronic pain and quality of life (QoL) after transinguinal preperitoneal (TIPP) inguinal hernia repair using a totally extraperitoneal, parietalized, Polysoft (R) memory ring patch : a series of 622 hernia repairs in 525 patients. Hernia. 17(6):683–692. https://doi.org/10.1007/s10029-013-1121-8CrossRefPubMed

16.

Sajid MS, Craciunas L, Singh KK, Sains P, Baig MK (2013) Open transinguinal preperitoneal mesh repair of inguinal hernia: a targeted systematic review and meta-analysis of published randomized controlled trials. Gastroenterol Rep (Oxf) 1(2):127–137. https://doi.org/10.1093/gastro/got002CrossRef

17.

Djokovic A, Delibegovic S (2019) Tipp versus the Lichtenstein and Shouldice techniques in the repair of inguinal hernias - short-term results. Acta Chir Belg:1–7. https://doi.org/10.1080/00015458.2019.1706323

18.

Koning GG, Keus F, Koeslag L, Cheung CL, Avci M, van Laarhoven CJ et al (2012) Randomized clinical trial of chronic pain after the transinguinal preperitoneal technique compared with Lichtenstein’s method for inguinal hernia repair. Br J Surg 99(10):1365–1373. https://doi.org/10.1002/bjs.8862CrossRefPubMed

19.

Koning GG, de Vries J, Borm GF, Koeslag L, Vriens PW, van Laarhoven CJ (2013) Health status one year after TransInguinal PrePeritoneal inguinal hernia repair and Lichtenstein’s method: an analysis alongside a randomized clinical study. Hernia. 17(3):299–306. https://doi.org/10.1007/s10029-012-0963-9CrossRefPubMed

20.

Cadanova D, van Dijk JP, Mollen R (2017) The transinguinal preperitoneal technique (TIPP) in inguinal hernia repair does not cause less chronic pain in relation to the ProGrip technique: a prospective double-blind randomized clinical trial comparing the TIPP technique, using the PolySoft mesh, with the ProGrip self-fixing semi-resorbable mesh. Hernia. 21(1):17–27. https://doi.org/10.1007/s10029-016-1522-6CrossRefPubMed

21.

Pelissier EP, Koning GG, Ngo P (2017) Comment to: The transinguinal preperitoneal technique (TIPP) in inguinal hernia repair does not cause less chronic pain in relation to the ProGrip technique: a prospective double-blind randomized clinical trial comparing the TIPP technique, using the PolySoft mesh, with the ProGrip self-fixing semi-resorbable mesh. D. Cadanova, J. P. van Dijk, R. M. H. G. Mollen. Hernia. https://doi.org/10.1007/s10029-017-1584-0

22.

Andresen K, Burcharth J, Fonnes S, Hupfeld L, Rothman JP, Deigaard S, Winther D, Errebo MB, Therkildsen R, Hauge D, Sørensen FS, Bjerg J, Rosenberg J (2017) Chronic pain after inguinal hernia repair with the ONSTEP versus the Lichtenstein technique, results of a double-blinded multicenter randomized clinical trial. Langenbeck's Arch Surg 402(2):213–218. https://doi.org/10.1007/s00423-016-1532-yCrossRef

23.

Oberg S, Andresen K, Hauge D, Rosenberg J (2016) Recurrence mechanisms after inguinal hernia repair by the ONSTEP technique: a case series. Hernia. 20(5):681–685. https://doi.org/10.1007/s10029-016-1496-4CrossRefPubMed

24.

Miserez M, Alexandre JH, Campanelli G, Corcione F, Cuccurullo D, Pascual MH, Hoeferlin A, Kingsnorth AN, Mandala V, Palot JP, Schumpelick V, Simmermacher RKJ, Stoppa R, Flament JB (2007) The European Hernia Society groin hernia classification: simple and easy to remember. Hernia. 11(2):113–116. https://doi.org/10.1007/s10029-007-0198-3CrossRefPubMed

25.

Dindo D, Demartines N, Clavien PA (2004) Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 240(2):205–213. https://doi.org/10.1097/01.sla.0000133083.54934.aeCrossRefPubMedPubMedCentral

26.

Gillion JF, Fagniez PL (1999) Chronic pain and cutaneous sensory changes after inguinal hernia repair: comparison between open and laparoscopic techniques. Hernia. 3:75–80CrossRef

27.

Aasvang E, Kehlet H (2005) Chronic postoperative pain: the case of inguinal herniorrhaphy. Br J Anaesth 95(1):69–76. https://doi.org/10.1093/bja/aei019CrossRefPubMed

28.

Loos MJ, Houterman S, Scheltinga MR, Roumen RM (2008) Evaluating postherniorrhaphy groin pain: visual analogue or verbal rating scale? Hernia. 12(2):147–151. https://doi.org/10.1007/s10029-007-0301-9CrossRefPubMed

29.

Franneby U, Sandblom G, Nyren O, Nordin P, Gunnarsson U (2008) Self-reported adverse events after groin hernia repair, a study based on a national register. Value Health 11(5):927–932. https://doi.org/10.1111/j.1524-4733.2008.00330.xCrossRefPubMed

30.

Staal E, Nienhuijs SW, Keemers-Gels ME, Rosman C, Strobbe LJ (2008) The impact of pain on daily activities following open mesh inguinal hernia repair. Hernia. 12(2):153–157. https://doi.org/10.1007/s10029-007-0297-1CrossRefPubMed

31.

Molegraaf M, Lange J, Wijsmuller A (2017) Uniformity of chronic pain assessment after inguinal hernia repair: a critical review of the literature. Eur Surg Res 58(1–2):1–19. https://doi.org/10.1159/000448706CrossRefPubMed

32.

Heniford BT, Lincourt AE, Walters AL, Colavita PD, Belyansky I, Kercher KW, Sing RF, Augenstein VA (2018) Carolinas comfort scale as a measure of hernia repair quality of life: a reappraisal utilizing 3788 international patients. Ann Surg 267(1):171–176. https://doi.org/10.1097/SLA.0000000000002027CrossRefPubMed

33.

Olsson A, Sandblom G, Franneby U, Sonden A, Gunnarsson U, Dahlstrand U (2019) The short-form inguinal pain questionnaire (sf-IPQ): an instrument for rating groin pain after inguinal hernia surgery in daily clinical practice. World J Surg 43(3):806–811. https://doi.org/10.1007/s00268-018-4863-8CrossRefPubMed

34.

Lundstrom KJ, Holmberg H, Montgomery A, Nordin P (2018) Patient-reported rates of chronic pain and recurrence after groin hernia repair. Br J Surg 105(1):106–112. https://doi.org/10.1002/bjs.10652CrossRefPubMed

35.

Tsirline VB, Colavita PD, Belyansky I, Zemlyak AY, Lincourt AE, Heniford BT (2013) Preoperative pain is the strongest predictor of postoperative pain and diminished quality of life after ventral hernia repair. Am Surg 79(8):829–836CrossRef

36.

Niebuhr H, Wegner F, Hukauf M, Lechner M, Fortelny R, Bittner R et al (2018) What are the influencing factors for chronic pain following TAPP inguinal hernia repair: an analysis of 20,004 patients from the Herniamed Registry. Surg Endosc 32(4):1971–1983. https://doi.org/10.1007/s00464-017-5893-2CrossRefPubMed

37.

Helgstrand F, Rosenberg J, Kehlet H, Strandfelt P, Bisgaard T (2012) Reoperation versus clinical recurrence rate after ventral hernia repair. Ann Surg 256(6):955–958. https://doi.org/10.1097/SLA.0b013e318254f5b9CrossRefPubMed

38.

Baucom RB, Ousley J, Feurer ID, Beveridge GB, Pierce RA, Holzman MD, Sharp KW, Poulose BK (2016) Patient reported outcomes after incisional hernia repair-establishing the ventral hernia recurrence inventory. Am J Surg 212(1):81–88. https://doi.org/10.1016/j.amjsurg.2015.06.007CrossRefPubMed

39.

Tastaldi L, Barros PHF, Krpata DM, Prabhu AS, Rosenblatt S, Petro CC, Alkhatib H, Szutan LA, Silva RA, Olson MA, Stewart TG, Roll S, Rosen MJ, Poulose BK (2019) Hernia recurrence inventory: inguinal hernia recurrence can be accurately assessed using patient-reported outcomes. Hernia 24:127–135. https://doi.org/10.1007/s10029-019-02000-zCrossRefPubMed

40.

Lopez-Cano M, Vilallonga R, Sanchez JL, Hermosilla E, Armengol M (2007) Short postal questionnaire and selective clinical examination combined with repeat mailing and telephone reminders as a method of follow-up in hernia surgery. Hernia. 11(5):397–402. https://doi.org/10.1007/s10029-007-0239-yCrossRefPubMed

41.

Bakker WJ, Roos MM, Kerkman T, Burgmans JPJ (2019) Experience with the PINQ-PHONE telephone questionnaire for detection of recurrences after endoscopic inguinal hernia repair. Hernia. 23(4):685–691. https://doi.org/10.1007/s10029-019-01909-9CrossRefPubMed

42.

Arslan K, Erenoglu B, Turan E, Koksal H, Dogru O (2015) Minimally invasive preperitoneal single-layer mesh repair versus standard Lichtenstein hernia repair for inguinal hernia: a prospective randomized trial. Hernia. 19(3):373–381. https://doi.org/10.1007/s10029-014-1306-9CrossRefPubMed

43.

Soler M (2018) Minimal Open Preperitoneal (MOPP) Technique. In: Campanelli G (ed) The art of hernia surgery. Springer, pp 319–326

44.

Ohmura Y, Suzuki H, Kotani K, Teramoto A (2019) Laparoscopic inguinal hernia repair with a joystick-guided robotic scope holder (Soloassist II(R)): retrospective comparative study with human assistant. Langenbeck's Arch Surg 404(4):495–503. https://doi.org/10.1007/s00423-019-01793-yCrossRef

45.

Muysoms F, Van Cleven S, Kyle-Leinhase I, Ballecer C, Ramaswamy A (2018) Robotic-assisted laparoscopic groin hernia repair: observational case-control study on the operative time during the learning curve. Surg Endosc 32(12):4850–4859. https://doi.org/10.1007/s00464-018-6236-7CrossRefPubMed

Title: A registry-based 2-year follow-up comparative study of two meshes used in transinguinal preperitoneal (TIPP) groin hernia repair
Authors: J. F. Gillion
M. Soler
J. M. Chollet
the Club-Hernie members
Publication date: 01-02-2021
Publisher: Springer Berlin Heidelberg
Published in: Langenbeck's Archives of Surgery / Issue 1/2021
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-020-01993-x

At a glance: The STEP trials

Springer Medicine

A registry-based 2-year follow-up comparative study of two meshes used in transinguinal preperitoneal (TIPP) groin hernia repair

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 1/2021

Postoperative ileus after laparoscopic primary and incisional abdominal hernia repair with intraperitoneal mesh (DynaMesh®-IPOM versus Parietex™ Composite): a single institution experience

Temporary portal decompression during liver transplantation: a video review of the different techniques

Association between gastric Candida colonization and surgical site infections after high-level hepatobiliary pancreatic surgeries: the results of prospective observational study

DIALAPP: a prospective validation of a new diagnostic algorithm for acute appendicitis

The value of CT imaging and CRP quotient for detection of postbariatric complications

Short- and long-term outcomes for primary anastomosis versus Hartmann’s procedure in Hinchey III and IV diverticulitis: a multivariate logistic regression analysis of risk factors