Zaza Demetrashvili1, Kakhi Khutsishvili2, Irakli Pipia3, Giorgi Kenchadze4, Eka Ekaladze5. 1. Department of Surgery of Tbilisi State Medical University, 33, Vazha-Pshavela ave., 0177 Tbilisi, Georgia; Department of General Surgery of Kipshidze Central University Hospital, 29, Vazha-Pshavela ave., 0160 Tbilisi, Georgia. Electronic address: zdemetr@yahoo.com. 2. Department of General Surgery of Kipshidze Central University Hospital, 29, Vazha-Pshavela ave., 0160 Tbilisi, Georgia. Electronic address: kkhutsishvili1972@yahoo.com. 3. Department of General Surgery of Kipshidze Central University Hospital, 29, Vazha-Pshavela ave., 0160 Tbilisi, Georgia. Electronic address: iraklipipia@yahoo.com. 4. Department of General Surgery of Kipshidze Central University Hospital, 29, Vazha-Pshavela ave., 0160 Tbilisi, Georgia. Electronic address: gugken@yahoo.com. 5. Department of Biochemistry of Tbilisi State Medical University, 33, Vazha-Pshavela ave., 0177 Tbilisi, Georgia. Electronic address: ekaekaladze@yahoo.com.
Abstract
PURPOSE: The aim of the present clinical study was to compare early and late outcomes after inguinal hernia repair with the heavyweight mesh (HW) and lightweight mesh (LW) during a 3 year follow-up period. METHODS:226 patients were randomized into LW and HW mesh groups, both of which underwent unilateral primary inguinal hernia repair via the Lichtenstein technique. Wound complications (infection, hematoma, seroma), hernia recurrence, pain and feeling of foreign body in inguinal area were determined in patients. Pain was measured by visual analogue scale. RESULTS: No statistical difference has been found between LW and HW groups by wound complication (P = 0.80). One case of hernia recurrence has been mentioned in both groups one year after hernioplasty. But there was no detectable difference between the two groups. No significant difference has been found between LW and HW groups by frequency of chronic pain 7 days, 1 and 3 months, 1, 2, and 3 years after surgery. As for the feeling of foreign body in groin it is similar in both groups after 1 and 3 months. Level of feeling of foreign body was significantly lower in LW group 1, 2, and 3 years after surgery, than in HW group (P = 0.03, P = 0.02, P = 0.02, respectively). CONCLUSION: Our research shows no significant difference in wound complications, hernia recurrence and chronic pain after Lichtenstein hernioplasty, by using of LW and HW meshes. The usage of the LW mesh was associated with less feeling of foreign body than that of the HW mesh, what can be considered as prevalence of LW mesh hernioplasty.
RCT Entities:
PURPOSE: The aim of the present clinical study was to compare early and late outcomes after inguinal hernia repair with the heavyweight mesh (HW) and lightweight mesh (LW) during a 3 year follow-up period. METHODS: 226 patients were randomized into LW and HW mesh groups, both of which underwent unilateral primary inguinal hernia repair via the Lichtenstein technique. Wound complications (infection, hematoma, seroma), hernia recurrence, pain and feeling of foreign body in inguinal area were determined in patients. Pain was measured by visual analogue scale. RESULTS: No statistical difference has been found between LW and HW groups by wound complication (P = 0.80). One case of hernia recurrence has been mentioned in both groups one year after hernioplasty. But there was no detectable difference between the two groups. No significant difference has been found between LW and HW groups by frequency of chronic pain 7 days, 1 and 3 months, 1, 2, and 3 years after surgery. As for the feeling of foreign body in groin it is similar in both groups after 1 and 3 months. Level of feeling of foreign body was significantly lower in LW group 1, 2, and 3 years after surgery, than in HW group (P = 0.03, P = 0.02, P = 0.02, respectively). CONCLUSION: Our research shows no significant difference in wound complications, hernia recurrence and chronic pain after Lichtenstein hernioplasty, by using of LW and HW meshes. The usage of the LW mesh was associated with less feeling of foreign body than that of the HW mesh, what can be considered as prevalence of LW mesh hernioplasty.