Tags

Type your tag names separated by a space and hit enter

Randomized trial comparing the Prolene Hernia System, mesh plug repair and Lichtenstein method for open inguinal hernia repair.
Br J Surg. 2005 Jan; 92(1):33-8.BJ

Abstract

BACKGROUND

Most surgeons favour the use of a mesh for open inguinal hernia repair as it has a low recurrence rate. Procedures used most frequently are the Lichtenstein method, mesh plug repair and the Prolene Hernia System. The choice of technique may be influenced by the effects on postoperative pain and quality of life.

METHODS

A total of 334 patients were allocated blindly and at random to receive one of these three meshes for open hernia repair. Quality of life was assessed with the Short Form 36 and pain by a visual analogue scale 14 days, and 3 and 15 months after surgery.

RESULTS

Operative complications were rare and comparable between the groups. Long-term follow-up was completed by questionnaire in 95.8 per cent of patients. There were no significant differences in pain parameters between the three meshes; overall, 43.3 per cent of patients reported some form of groin pain. The severity of the chronic pain correlated with a higher pain score in the first 2 weeks after surgery (P < 0.001). A significant reduction in scores for role emotional (short term) and vitality (long term) quality of life domains was found in patients who had a Lichtenstein repair.

CONCLUSION

These short- and long-term results did not show any clinically significant difference in postoperative pain and quality of life between the three types of mesh hernia repair. Severe early postoperative pain reliably predicted the likelihood of persisting chronic groin pain.

Authors+Show Affiliations

Department of Surgery, Canisius-Wilhelmina Hospital, PO Box 9015, 6500 GS, Nijmegen, The Netherlands. s.nienhuijs@hccnet.nlNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

15593293

Citation

Nienhuijs, S W., et al. "Randomized Trial Comparing the Prolene Hernia System, Mesh Plug Repair and Lichtenstein Method for Open Inguinal Hernia Repair." The British Journal of Surgery, vol. 92, no. 1, 2005, pp. 33-8.
Nienhuijs SW, van Oort I, Keemers-Gels ME, et al. Randomized trial comparing the Prolene Hernia System, mesh plug repair and Lichtenstein method for open inguinal hernia repair. Br J Surg. 2005;92(1):33-8.
Nienhuijs, S. W., van Oort, I., Keemers-Gels, M. E., Strobbe, L. J., & Rosman, C. (2005). Randomized trial comparing the Prolene Hernia System, mesh plug repair and Lichtenstein method for open inguinal hernia repair. The British Journal of Surgery, 92(1), 33-8.
Nienhuijs SW, et al. Randomized Trial Comparing the Prolene Hernia System, Mesh Plug Repair and Lichtenstein Method for Open Inguinal Hernia Repair. Br J Surg. 2005;92(1):33-8. PubMed PMID: 15593293.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Randomized trial comparing the Prolene Hernia System, mesh plug repair and Lichtenstein method for open inguinal hernia repair. AU - Nienhuijs,S W, AU - van Oort,I, AU - Keemers-Gels,M E, AU - Strobbe,L J A, AU - Rosman,C, PY - 2004/12/14/pubmed PY - 2005/2/18/medline PY - 2004/12/14/entrez SP - 33 EP - 8 JF - The British journal of surgery JO - Br J Surg VL - 92 IS - 1 N2 - BACKGROUND: Most surgeons favour the use of a mesh for open inguinal hernia repair as it has a low recurrence rate. Procedures used most frequently are the Lichtenstein method, mesh plug repair and the Prolene Hernia System. The choice of technique may be influenced by the effects on postoperative pain and quality of life. METHODS: A total of 334 patients were allocated blindly and at random to receive one of these three meshes for open hernia repair. Quality of life was assessed with the Short Form 36 and pain by a visual analogue scale 14 days, and 3 and 15 months after surgery. RESULTS: Operative complications were rare and comparable between the groups. Long-term follow-up was completed by questionnaire in 95.8 per cent of patients. There were no significant differences in pain parameters between the three meshes; overall, 43.3 per cent of patients reported some form of groin pain. The severity of the chronic pain correlated with a higher pain score in the first 2 weeks after surgery (P < 0.001). A significant reduction in scores for role emotional (short term) and vitality (long term) quality of life domains was found in patients who had a Lichtenstein repair. CONCLUSION: These short- and long-term results did not show any clinically significant difference in postoperative pain and quality of life between the three types of mesh hernia repair. Severe early postoperative pain reliably predicted the likelihood of persisting chronic groin pain. SN - 0007-1323 UR - https://www.unboundmedicine.com/medline/citation/15593293/Randomized_trial_comparing_the_Prolene_Hernia_System_mesh_plug_repair_and_Lichtenstein_method_for_open_inguinal_hernia_repair_ L2 - https://doi.org/10.1002/bjs.4702 DB - PRIME DP - Unbound Medicine ER -