Reduction of chronic post-herniotomy pain and recurrence rate. Use of the anatomical self-gripping ProGrip laparoscopic mesh in TAPP hernia repair. Preliminary results of a prospective study

Pavol Klobusicky; David Hoskovec

doi:10.5114/wiitm.2015.54222

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

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abstract:

Original paper

Reduction of chronic post-herniotomy pain and recurrence rate. Use of the anatomical self-gripping ProGrip laparoscopic mesh in TAPP hernia repair. Preliminary results of a prospective study

Pavol Klobusicky

,

David Hoskovec

Videosurgery Miniinv 2015; 10 (3): 373–381

DOI: https://doi.org/10.5114/wiitm.2015.54222

Online publish date: 2015/09/16

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AMA

Klobusicky P, Hoskovec D. Reduction of chronic post-herniotomy pain and recurrence rate. Use of the anatomical self-gripping ProGrip laparoscopic mesh in TAPP hernia repair. Preliminary results of a prospective study. Videosurgery and Other Miniinvasive Techniques. 2015:373-381. doi:10.5114/wiitm.2015.54222.

APA

Klobusicky, P.,  & Hoskovec, D. (2015). Reduction of chronic post-herniotomy pain and recurrence rate. Use of the anatomical self-gripping ProGrip laparoscopic mesh in TAPP hernia repair. Preliminary results of a prospective study. Videosurgery and Other Miniinvasive Techniques, 373-381. https://doi.org/10.5114/wiitm.2015.54222

Chicago

Klobusicky, Pavol,  and David Hoskovec. 2015. "Reduction of chronic post-herniotomy pain and recurrence rate. Use of the anatomical self-gripping ProGrip laparoscopic mesh in TAPP hernia repair. Preliminary results of a prospective study". Videosurgery and Other Miniinvasive Techniques: 373-381. doi:10.5114/wiitm.2015.54222.

Harvard

Klobusicky, P.,  and Hoskovec, D. (2015). Reduction of chronic post-herniotomy pain and recurrence rate. Use of the anatomical self-gripping ProGrip laparoscopic mesh in TAPP hernia repair. Preliminary results of a prospective study. Videosurgery and Other Miniinvasive Techniques, pp.373-381. https://doi.org/10.5114/wiitm.2015.54222

MLA

Klobusicky, Pavol et al. "Reduction of chronic post-herniotomy pain and recurrence rate. Use of the anatomical self-gripping ProGrip laparoscopic mesh in TAPP hernia repair. Preliminary results of a prospective study." Videosurgery and Other Miniinvasive Techniques, 2015, pp. 373-381. doi:10.5114/wiitm.2015.54222.

Vancouver

Klobusicky P, Hoskovec D. Reduction of chronic post-herniotomy pain and recurrence rate. Use of the anatomical self-gripping ProGrip laparoscopic mesh in TAPP hernia repair. Preliminary results of a prospective study. Videosurgery and Other Miniinvasive Techniques. 2015:373-381. doi:10.5114/wiitm.2015.54222.

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Introduction: The role of fixation of the mesh is especially important in the endoscopic technique. The fixation of mesh through penetrating techniques using staples, clips or screws is associated with a significantly increased risk of developing a post-herniotomy pain syndrome.

Aim: To demonstrate the safety and efficacy of the self-fixating anatomical Parietex ProGrip laparoscopic mesh (Sofradim Production, Trévoux France) used with laparoscopic transabdominal preperitoneal hernia repair. The incidence of chronic post-herniotomy pain and recurrence rate in the follow-up after 12 months were evaluated.

Material and methods: Data analysis included all patients who underwent inguinal hernia surgery at our Surgical Department within the period from 1.5.2013 to 31.12.2014, who fulfilled the inclusion criteria. Standard surgical technique was used. Data were prospectively entered and subsequently analyzed on the Herniamed platform. Herniamed is an internet-based register in German and English language and includes all data of patients who underwent surgery for some types of hernia.

Results: There were 95 patients enrolled in the group and there were in total 156 inguinal hernias repaired. The mean follow-up was 15.52 months. At the assessment at 1 year mild discomfort in the groin was reported in 2 patients (3.51%) (1–3 VAS). No recurrence or chronic postoperative pain was reported.

Conclusions: Laparoscopic inguinal hernia repair using the transabdominal preperitoneal technique with implantation of the ProGrip laparoscopic mesh is a fast, effective and reliable method in experienced hands, which according to our results reduces the occurrence of chronic post-operative inguinal pain with simultaneously a low recurrence rate.

keywords:

Reduction of chronic post-herniotomy pain and recurrence rate. Use of the anatomical self-gripping ProGrip laparoscopic mesh in TAPP hernia repair. Preliminary results of a prospective study

Pavol Klobusicky , David Hoskovec

laparoscopic inguinal hernia repair, transabdominal preperitoneal, ProGrip laparoscopic mesh, Herniamed

Pavol Klobusicky

,

David Hoskovec