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Hernia
Published in: Hernia 1/2006

01-03-2006 | Original Article

Early results of a randomised trial comparing Prolene and VyproII-mesh in endoscopic extraperitoneal inguinal hernia repair (TEP) of recurrent unilateral hernias

Authors: T. Heikkinen, S. Wollert, J. Österberg, S. Smedberg, S. Bringman

Published in: Hernia | Issue 1/2006

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Abstract

The purpose of this study was to compare a lightweight mesh to a standard polypropylene hernia mesh in endoscopic extraperitoneal hernioplasty in recurrent hernias. A total of 140 men with recurrent unilateral inguinal hernias were randomised to a totally extraperitoneal endoscopic hernioplasty (TEP) with Prolene or VyproII in a single-blinded multi-center trial. The randomisation and all data handling were performed through the Internet. 137 patients were operated as allocated. Follow-up was completed in 88% of the patients. The median operation times were 55 (24–125) min and 53.5 (21–123) min for the Prolene and VyproII groups, respectively. The meshes had comparable results in the surgeon’s assessment of the handling of the mesh, return to work, return to daily activities, complications, postoperative pain and quality of life during the first 8 weeks of rehabilitation, except in General Health (GH) SF-36, where the VyproII-group had a significantly better score (P=0.045). The use of Prolene and VyproII-meshes in endoscopic repair of recurrent inguinal hernia seems to result in similar short-term outcomes and quality of life.
Literature
1.
Haapaniemi S, Gunnarsson U, Nordin P, Nilsson E (2001) Reoperation after recurrent groin hernia repair. Ann Surg 234:122–126PubMedCrossRef
2.
Collaboration EHT (2002) Repair of groin hernia with synthetic mesh: meta-analysis of randomized controlled trials. Ann Surg 235:322–332CrossRef
3.
Kumar S, Wilson RG, Nixon SJ, Macintyre IM (2002) Chronic pain after laparoscopic and open mesh repair of groin hernia. Br J Surg 89:1476–1479PubMedCrossRef
4.
Frankum CE, Ramshaw BJ, White J, Duncan TD, Wilson RA, Mason EM, Lucas G, Promes J (1999) Laparoscopic repair of bilateral and recurrent hernias (discussion 842–843). Am Surg 65:839–842PubMed
5.
Kumar S, Nixon SJ, MacIntyre IM (1999) Laparoscopic or Lichtenstein repair for recurrent inguinal hernia: one unit’s experience. J R Coll Surg Edinb 44:301–302PubMed
6.
Tamme C, Scheidbach H, Hampe C, Schneider C, Kockerling F (2003) Totally extraperitoneal endoscopic inguinal hernia repair (TEP). Surg Endosc 17:190–195PubMedCrossRef
7.
Klinge U, Klosterhalfen B, Muller M, Schumpelick V (1999) Foreign body reaction to meshes used for the repair of abdominal wall hernias. Eur J Surg 165:665–673PubMedCrossRef
8.
Junge K, Klinge U, Rosch R, Klosterhalfen B, Schumpelick V (2002) Functional and morphologic properties of a modified mesh for inguinal hernia repair. World J Surg 26:1472–1480PubMedCrossRef
9.
Klinge U, Klosterhalfen B, Muller M, Anurov M, Ottinger A, Schumpelick V (1999) Influence of polyglactin-coating on functional and morphological parameters of polypropylene-mesh modifications for abdominal wall repair. Biomaterials 20:613–623PubMedCrossRef
10.
Junge K, Klinge U, Prescher A, Giboni P, Niewiera M, Schumpelick V (2001) Elasticity of the anterior abdominal wall and impact for reparation of incisional hernias using mesh implants. Hernia 5:113–118PubMedCrossRef
11.
Welty G, Klinge U, Klosterhalfen B, Kasperk R, Schumpelick V (2001) Functional impairment and complaints following incisional hernia repair with different polypropylene meshes. Hernia 5:142–147PubMedCrossRef
12.
Sullivan M, Karlsson J (1994) SF-36 Hälsoenkät Manual och tolkningsguide, Sahlgrenska sjukhuset, Göteborg, Sweden
13.
Sullivan M, Karlsson J (1998) The Swedish SF-36 Health Survey III. Evaluation of criterion-based validity: results from normative population. J Clin Epidemiol 51:1105–1113PubMedCrossRef
14.
Matlaga BF, Salthouse TN (1983) Ultrastructural observations of cells at the interface of a biodegradable polymer: Polyglactin 910. J Biomed Mater Res 17:185–197PubMedCrossRef
15.
Bringman S, Heikkinen TJ, Wollert S, Osterberg J, Smedberg S, Granlund H, Ramel S, Fellander G, Anderberg B (2004) Early results of a single-blinded, randomized, controlled, Internet-based multicenter trial comparing Prolene and Vypro II mesh in Lichtenstein hernioplasty. Hernia 8:127–134PubMedCrossRef
16.
Bringman S, Wollert S, Österberg J, Smedberg S, Granlund H, Felländer G, Heikkinen T (2004) One year results of a single-blinded, randomised, controlled, Internet-based multi-centre trial comparing Prolene and VyproII-mesh in Lichtenstein hernioplasty. Hernia (submitted)
17.
McCormack K, Scott NW, Go PM, Ross S, Grant AM (2003) Laparoscopic techniques versus open techniques for inguinal hernia repair. Cochrane Database Syst Rev:CD001785
18.
Neumayer L, Giobbie-Hurder A, Jonasson O, Fitzgibbons R, Jr., Dunlop D, Gibbs J, Reda D, Henderson W (2004) Open mesh versus laparoscopic mesh repair of inguinal hernia. N Engl J Med 350:1819–1827PubMedCrossRef
19.
Ramshaw B, Shuler FW, Jones HB, Duncan TD, White J, Wilson R, Lucas GW, Mason EM (2001) Laparoscopic inguinal hernia repair: lessons learned after 1224 consecutive cases. Surg Endosc 15:50–54PubMedCrossRef
20.
Ramshaw BJ, Tucker JG, Conner T, Mason EM, Duncan TD, Lucas GW (1996) A comparison of the approaches to laparoscopic herniorrhaphy. Surg Endosc 10:29–32PubMedCrossRef
21.
Felix EL, Michas CA, Gonzalez MH Jr (1995) Laparoscopic hernioplasty. TAPP vs TEP. Surg Endosc 9:984–989PubMed
22.
Heise CP, Starling JR (1998) Mesh inguinodynia: a new clinical syndrome after inguinal herniorrhaphy? J Am Coll Surg 187:514–518PubMedCrossRef
23.
Poobalan AS, Bruce J, Smith WC, King PM, Krukowski ZH, Chambers WA (2003) A review of chronic pain after inguinal herniorrhaphy. Clin J Pain 19:48–54PubMedCrossRef
24.
Callesen T, Bech K, Kehlet H (1999) Prospective study of chronic pain after groin hernia repair. Br J Surg 86:1528–1531PubMedCrossRef
25.
Collaboration EH (2000) Laparoscopic compared with open methods of groin hernia repair: systematic review of randomized controlled trials. Br J Surg 87:860–867PubMedCrossRef
Metadata
Title
Early results of a randomised trial comparing Prolene and VyproII-mesh in endoscopic extraperitoneal inguinal hernia repair (TEP) of recurrent unilateral hernias
Authors
T. Heikkinen
S. Wollert
J. Österberg
S. Smedberg
S. Bringman
Publication date
01-03-2006
Publisher
Springer-Verlag
Published in
Hernia / Issue 1/2006
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-005-0026-6

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