Original Article
Comparative study of standard and partial absorbable polypropylene mesh in preperitoneal hernioplasty
Jinlong Li, Dan Tian, Yu Liu, Gang Han
Published 2019-08-18
Cite as Chin J Hernia Abdominal Wall Surg(Electronic Edition), 2019, 13(4): 298-301. DOI: 10.3877/cma.j.issn.1674-392X.2019.04.003
Abstract
ObjectiveTo compare the difference in postoperative effects between standard polypropylene (SP) mesh and partial absorbable (PA) mesh in preperitoneal hernioplasty.
MethodsA prospective randomized controlled study was conducted to investigate 148 male patients with unilateral inguinal hernia in the Second Hospital of Jilin University between January 2018 and September 2018. They were randomly divided into two groups: SP mesh group (73 patients) and the PA mesh group (75 patients). A tension-free repair using the preperitoneal hernioplasty technique was performed on all patients. The postoperative hospital stay, seroma, mesh infection, postoperative pain, recurrence, foreign body sensation and hospital cost were compared between the two groups, as well as the patients' quality of life was evaluated by the Medical Outcomes Study Short-Form (SF) 36 questionnaire which was completed by the patient.
ResultsNo statistical difference was observed for average length of stay, incidence of seroma, mesh infection rate and recurrence rate between the two groups (P>0.05). There were significant differences in pain at 6 months after operation (P<0.001), foreign body sensation (P=0.016 8) and hospital cost (P<0.001) between the two groups. No statistical difference was observed for SF-36 score between the two groups (P>0.05).
ConclusionImplantation of partial absorbable mesh can ameliorate postoperative pain and foreign sensation but will need more curative cost for patients. Neither of the mesh would affect the quality of patients' life after operation.
Key words:
Hernia, inguinal; Hernioplasty; Preperitoneal; Mesh
Contributor Information
Jinlong Li
Department of Gastrointestinal Surgery, the Second Hospital of Jilin University, Changchun 130041, China
Dan Tian
Department of Anesthesia, the Second Hospital of Jilin University, Changchun 130041, China
Yu Liu
Department of Anesthesia, Changchun PLA 208 Hospital, Changchun 130061, China
Gang Han
Department of Gastrointestinal Surgery, the Second Hospital of Jilin University, Changchun 130041, China