Multicentric observational study of pain after the use of a self-gripping lightweight mesh

• Published in: Hernia : the journal of hernias and abdominal wall surgery Vol. 15; no. 5; pp. 511 - 515
• Main Authors: García Ureña, M. Á., Hidalgo, M., Feliu, X., Velasco, M. Á., Revuelta, S., Gutiérrez, R., Utrera, A., Porrero, J. L., Marín, M., Zaragoza, C.
• Format: Journal Article
• Language: English
• Published: Paris Springer-Verlag 01.10.2011; Springer Nature B.V
• Subjects: Abdominal Surgery; Adult; Aged; Aged, 80 and over; Chronic Pain - etiology; Hematoma - etiology; Hernia, Inguinal - surgery; Herniorrhaphy - adverse effects; Herniorrhaphy - instrumentation; Humans; Male; Medicine; Medicine & Public Health; Middle Aged; Orchitis - etiology; Original Article; Pain Measurement; Pain, Postoperative - etiology; Prospective Studies; Seroma - etiology; Surgical Mesh - adverse effects; Surgical Wound Infection - etiology; Time Factors; Young Adult; Hernioplasty; Mesh; Polypropylene; Inguinal hernia; Chronic pain
• ISSN: 1265-4906; 1248-9204
• DOI: 10.1007/s10029-011-0811-3

Introduction Investigation in the field of inguinal hernia surgery is now focused on postoperative pain. The extended use of lightweight meshes and alternative methods of fixation may play a relevant role in the reduction of pain. In this study, a new self-gripping lightweight polypropylene mesh is tested. Methods A multicentric, observational study was scheduled to prospectively evaluate this new mesh. Ten centers agreed to participate. Only primary, type 1 or 2 uncomplicated hernias in adults were included. The mesh was placed as a Lichtenstein procedure without any fixation. A complete pain questionnaire was followed at 1 week, and at 1, 3 and 6 months postoperatively. The principal goal of the study was to evaluate maximum pain score at 6 months. Pain was assessed by a visual analog scale. A total of 256 patients were operated. Mean operative time was 35.6 min; 76.2% of patients were operated in an ambulatory setting. Results There were a few postoperative complications: 2 wound infections, 17 seromas, 21 hematomas, 6 orchitis. The incidence of acute pain was 27.3% at week 1 and 7.5% at month 1. The incidence of chronic pain was 3.6% at month 3 and 2.8% at month 6. No recurrences or long-term complications were observed. Conclusion This self-gripping mesh can be used safely in type 1 and 2 primary, uncomplicated inguinal hernia with minimal morbidity and most patients under ambulatory setting. The registered incidence of chronic pain is lower than 3%.