A New Prosthesis in Inguinal Hernia Repair: Results of a Pilot Study
Journal Title: Surgical Research – Open Journal - Year 2016, Vol 2, Issue 2
Abstract
Purpose: Prosthetic reinforcement is the gold standard in inguinal hernia repair. One-third of patients complain of post – surgical pain due to irritation and inflammation caused by the mesh and methods of fixation; 4-10% of these will experience severe chronic pain. We performed a prospective single arm study for the assessment of post-operative pain after inguinal hernia repair with a new self-gripping hernia prosthesis. Methods: From December 2011 to December 2013, 44 consecutive patients with primary oblique inguinal hernia underwent to inguinal hernia repair with ProflorTM (Insightra). All patients were preoperatively evaluated by ultrasound and the defect size was < 2 cm. Visual Analog Scale (VAS) was assessed at 7 days and 3-6 months. All patients were included in ultrasound follow up at 7 days and 3-6-12-18-24 months. Results: No sutures or other fixation systems have been used.According to the VAS scale pain was reported in a range from 1 to 3 during the first week. No peri-operative complications occurred. 10 post-operative complications was reported: 3 hematomas (6.8%), 1 ecchymosis (2.2%), 2 seroma (4.5%), 4 hypoaesthesia (9.1%). None of total implants delivered dislodged, as confirmed bythe ultrasounds. Conclusions: Operative and post-operative complication rates were comparable to the literature; chronic pain did not occur. The use of this new prosthesis, which through its design allows fixation without sutures, could be an alternative method to decrease chronic pain after inguinal hernia repair. We acknowledge that further studies are needed.
Authors and Affiliations
Dario Venditti
Keywords
Related Articles
- EP ID EP558147
- DOI 10.17140/SROJ-2-112
- Views 202
- Downloads 0
Transverse Colon Perforation in a Patient with Primary Systemic Amyloidosis Associated with Multiple Myeloma
Amyloidosis is caused by extracellular deposits of amyloid by plasma cells, which can be idiopathic, occur with chronic inflammatory conditions, familial, or be associated with Multiple Myeloma. The Gastrointestinal trac...
Epidemiologic Analysis of the Surgical Specimens of Breast Carcinosarcomas Examined at a Reference Laboratory in a Nigerian Community
The idea that carcinoma and sarcoma can exist together dated to as early as 1804. Pictorial illustrations of this phenomenon appeared by 1882. Nowadays, with regard to the breast, it is reportedly rare, there being but t...
The TNF, IL-1, IL-6 and HNP Peritoneal Fluid Concentrations in Premature Infants Treated with Peritoneal Drainage for Intestinal Perforation-Preliminary Study
Purpose: The purpose of the study was to analyze the pro-inflammatory cytokines (TNF, IL-1, IL-6 and HNP) profile in the peritoneal fluid in preterm infants with intestinal perforation due to Necrotizing enterocolitis (N...
Acute Digital Ischemia In a 30-Year Old Man: A Case Report
Objective: To report a rare case of acute digital ischemia at a young man. Methods: A 30-year old man presented with painful bluish discoloration of the toes and palpable pedal pulses. Results: Physical evaluation and ur...
The Opportunistic Salpingectomy in Reducing Ovarian Cancer Risk: Do the Potential Benefits Outweigh Complications?
A 33-year-old women with 3 children who has completed child bearing presents to your office for permanent sterilization via a laparoscopic approach. She has recently heard through the internet that removal of the fallopi...