Influence of operative technique on recurrence rate in Lichtenstein hernioplasty using partially absorbable lightweight mesh

Polish Hernia Study Group

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abstract:

Original paper

Influence of operative technique on recurrence rate in Lichtenstein hernioplasty using partially absorbable lightweight mesh

Polish Hernia Study Group

Videosurgery and other miniinvasive techniques 2009; 4 (1): 10–15

Online publish date: 2009/03/27

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Introduction: This randomized study evaluates whether modified implantation technique using partially absorbable monofilament mesh increases the recurrence rate in Lichtenstein hernioplasty.
Material and methods: Patients were operated on in 15 centres, blindly randomized into two groups – Ultrapro (UP) and heavyweight polypropylene (PP) mesh. A modified suture technique was used in the Ultrapro group. Follow-up was scheduled for 3, 6, and 12 months. The objective was to assess the incidence of early recurrence rate.
Results: Six hundred patients were randomized and, after monitoring visits (leading to the exclusion of 7 hospitals), 392 of them were qualified for the assessment. At 12 months, the recurrence rate did not differ. Four recurrences were observed in the UP group and one in the PP group (p = 0.493).
Conclusions: The use of partially absorbable light mesh in modified Lichtenstein hernioplasty did not increase the recurrence rate in short-term observation (12 months).

keywords:

Influence of operative technique on recurrence rate in Lichtenstein hernioplasty using partially absorbable lightweight mesh

Polish Hernia Study Group

Lichtenstein hernioplasty, lightweight mesh, Ultrapro, operative technique, recurrence, pain