OBJECTIVE: The aim of the randomized clinical trial was to compare the 2 years of clinical outcomes of a lightweight (Ultrapro) vs a heavyweight (Prolene) mesh for laparoscopic total extraperitoneal (TEP) inguinal hernia repair. BACKGROUND: Lightweight meshes reduce postoperative pain and stiffness in open anterior inguinal hernia repair. The discussion about a similar benefit for laparoscopic repair is ongoing, but concerns exist about higher recurrence rates. METHODS:Between March 2010 and October 2012, male patients who presented with a primary, reducible unilateral inguinal hernia who underwent day-case TEP repair were eligible. Outcome parameters included chronic pain, recurrence, foreign body feeling, and quality of life scores. RESULTS: During the study period, 950 patients were included. One year postoperatively the presence of relevant pain (Numeric Rating Score 4-10) was significantly higher in the lightweight mesh group (2.9%) compared with the heavyweight mesh group (0.7%) (P = 0.01), and after 2 years this difference remained significant (P = 0.03). There were 4 (0.8%) recurrent hernias in the heavyweight mesh group and 13 (2.7%) in the lightweight group (P = 0.03). No differences in foreign body feeling or quality of life scores were detected. CONCLUSIONS: In TEP hernia surgery, there was no benefit of lightweight over heavyweight meshes observed 2 years postoperatively.
RCT Entities:
OBJECTIVE: The aim of the randomized clinical trial was to compare the 2 years of clinical outcomes of a lightweight (Ultrapro) vs a heavyweight (Prolene) mesh for laparoscopic total extraperitoneal (TEP) inguinal hernia repair. BACKGROUND: Lightweight meshes reduce postoperative pain and stiffness in open anterior inguinal hernia repair. The discussion about a similar benefit for laparoscopic repair is ongoing, but concerns exist about higher recurrence rates. METHODS: Between March 2010 and October 2012, male patients who presented with a primary, reducible unilateral inguinal hernia who underwent day-case TEP repair were eligible. Outcome parameters included chronic pain, recurrence, foreign body feeling, and quality of life scores. RESULTS: During the study period, 950 patients were included. One year postoperatively the presence of relevant pain (Numeric Rating Score 4-10) was significantly higher in the lightweight mesh group (2.9%) compared with the heavyweight mesh group (0.7%) (P = 0.01), and after 2 years this difference remained significant (P = 0.03). There were 4 (0.8%) recurrent hernias in the heavyweight mesh group and 13 (2.7%) in the lightweight group (P = 0.03). No differences in foreign body feeling or quality of life scores were detected. CONCLUSIONS: In TEPhernia surgery, there was no benefit of lightweight over heavyweight meshes observed 2 years postoperatively.
Authors: C V van Hessen; M M Roos; F B M Sanders; E J M M Verleisdonk; G J Clevers; P H P Davids; J P J Burgmans Journal: Hernia Date: 2019-09-03 Impact factor: 4.739
Authors: W J Bakker; C V van Hessen; E J M M Verleisdonk; G J Clevers; P H P Davids; N Schouten; J P J Burgmans Journal: Hernia Date: 2019-01-17 Impact factor: 4.739
Authors: M M Roos; W J Bakker; E A Goedhart; E J M M Verleisdonk; G J Clevers; C E H Voorbrood; F B M Sanders; D B Naafs; J P J Burgmans Journal: Hernia Date: 2018-01-30 Impact factor: 4.739
Authors: M M Roos; C V van Hessen; E J M M Verleisdonk; G J Clevers; P H P Davids; C E H Voorbrood; R K J Simmermacher; J P J Burgmans Journal: Hernia Date: 2018-09-22 Impact factor: 4.739