Randomized clinical trial comparing inguinal hernia repair with Lichtenstein technique using non-absorbable or partially absorbable mesh. Preliminary report

Konrad Pielaciński; Andrzej B. Szczepanik; Andrzej Misiak; Tadeusz Wróblewski

doi:10.5114/wiitm.2011.26253

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

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abstract:

Original paper

Randomized clinical trial comparing inguinal hernia repair with Lichtenstein technique using non-absorbable or partially absorbable mesh. Preliminary report

Konrad Pielaciński

,

Andrzej B. Szczepanik

,

Andrzej Misiak

,

Tadeusz Wróblewski

Videosurgery and Other Miniinvasive Techniques 2011; 6 (4): 190-206

DOI: https://doi.org/10.5114/wiitm.2011.26253

Online publish date: 2011/12/20

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AMA

Pielaciński K, Szczepanik A, Misiak A, Wróblewski T. Randomized clinical trial comparing inguinal hernia repair with Lichtenstein technique using non-absorbable or partially absorbable mesh. Preliminary report. Videosurgery and Other Miniinvasive Techniques. 2011;6(4):190-206. doi:10.5114/wiitm.2011.26253.

APA

Pielaciński, K., Szczepanik, A., Misiak, A.,  & Wróblewski, T. (2011). Randomized clinical trial comparing inguinal hernia repair with Lichtenstein technique using non-absorbable or partially absorbable mesh. Preliminary report. Videosurgery and Other Miniinvasive Techniques, 6(4), 190-206. https://doi.org/10.5114/wiitm.2011.26253

Chicago

Pielaciński, Konrad, Andrzej B. Szczepanik, Andrzej Misiak,  and Tadeusz Wróblewski. 2011. "Randomized clinical trial comparing inguinal hernia repair with Lichtenstein technique using non-absorbable or partially absorbable mesh. Preliminary report". Videosurgery and Other Miniinvasive Techniques 6 (4): 190-206. doi:10.5114/wiitm.2011.26253.

Harvard

Pielaciński, K., Szczepanik, A., Misiak, A.,  and Wróblewski, T. (2011). Randomized clinical trial comparing inguinal hernia repair with Lichtenstein technique using non-absorbable or partially absorbable mesh. Preliminary report. Videosurgery and Other Miniinvasive Techniques, 6(4), pp.190-206. https://doi.org/10.5114/wiitm.2011.26253

MLA

Pielaciński, Konrad et al. "Randomized clinical trial comparing inguinal hernia repair with Lichtenstein technique using non-absorbable or partially absorbable mesh. Preliminary report." Videosurgery and Other Miniinvasive Techniques, vol. 6, no. 4, 2011, pp. 190-206. doi:10.5114/wiitm.2011.26253.

Vancouver

Pielaciński K, Szczepanik A, Misiak A, Wróblewski T. Randomized clinical trial comparing inguinal hernia repair with Lichtenstein technique using non-absorbable or partially absorbable mesh. Preliminary report. Videosurgery and Other Miniinvasive Techniques. 2011;6(4):190-206. doi:10.5114/wiitm.2011.26253.

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Introduction: The Lichtenstein technique is currently considered the “gold standard” of open, anterior inguinal hernia repair. It is not free, however, of adverse effects, which may be caused by the implemented synthetic material.

Aim : Determination the influence of the mesh employed on treatment results including immediate complications, return to everyday activities, chronic pain occurrence and hernia recurrence.

Material and methods : Tension-free hernia repair using the Lichtenstein technique was performed in all the 59 patients randomized to trial groups. Group P with heavyweight polypropylene mesh contained 34 patients; group V with lightweight, partially absorbable mesh (polypropylene/polyglactin 910) consisted of 25 people. Controlled, scheduled follow-up appointments took place after the 7^th day and the 3^rd and 6^th month. Patients were clinically assessed and pain intensity was determined on an analogue-visual scale.

Results : No statistically significant influence of the type of mesh on the risk of early complications, severe pain intensity, the length of hospital stay, time of recovery, or patients’ satisfaction with treatment was observed. After 6 months also no statistically significant differences were observed between groups with regard to recurrence rate (P 3.4% vs. V 4.0%), chronic pain (P 5.9% vs. V 4.0%) and ailments such as “foreign body presence” (V vs. P, OR = 0.30, 95% CI 0.077-1.219, p = 0.093) incidence, although their probability was 70% lower for V mesh.

Conclusions : The preliminary results confirm the effectiveness of the Lichtenstein technique for hernia repair with both types of meshes. It appears that use of a partially absorbable mesh is connected with lower risk of postoperative complications, but the final results require multicentre trials in a larger series of patients.

keywords:

Randomized clinical trial comparing inguinal hernia repair with Lichtenstein technique using non-absorbable or partially absorbable mesh. Preliminary report

Konrad Pielaciński , Andrzej B. Szczepanik , Andrzej Misiak , Tadeusz Wróblewski

inguinal hernia, Lichtenstein technique, non-absorbable and partially absorbable mesh

Konrad Pielaciński

,

Andrzej B. Szczepanik

,

Andrzej Misiak

,

Tadeusz Wróblewski