A Prospective Study Comparing Flat Polypropylenee Mesh and 3D Monofilament Mesh in Laparoscopic Mesh Hernioplasty
Journal Title: International Journal of Contemporary Medicine surgery and Radiology - Year 2017, Vol 2, Issue 2
Abstract
Introduction: Synthetic mesh implants are one of the commonly used materials in many surgical interventions, especially during hernia repair. Mesh implants are basically made of polypropylene (PP), polyethylene terephthalate (PET), expanded polytetrafluoroethylene (ePTFE), polyvinylidenefluoride (PVDF), and absorbable materials, such as polylactide (PLA), polyglycolic acid (PGA) and polydioxanone (PDO). The present study was carried out in the Govt. Medical College/Rajindra hospital, Patiala to compare this 3D polypropylene mesh with flat polypropylene mesh in laparoscopic inguinal hernia repair. Material and methods: The present study consisted of 60 patients reporting to the Department of Surgery at Rajindra Hospital, Government Medical College, Patiala. Patients with densely scarred abdomen, acute abdomen with strangulated of infarcted bowel and younger than 18 years were not included in the study. In Group A flat polypropylene mesh and in Group B 3D polypropylene mesh is placed in the preperitoneal space. Rescue analgesic doses were administered on demand of patient after assessing VAS at 6,24 and 48 hrs of surgery. Results: In group A, the dose of injectable analgesic required ranged from 2-4 doses with mean of 2.13+0.51. In group B, the dose of injectable analgesic ranged from 2-6 doses with mean of 2.20+0.61. In groupA 25(83.3%) patients were discharged within 1-2 days and in group B, 29(96.6%) patients were discharged in 1-2 days. This was found to be statistically significant (p<0.05). At 6 month follow up, one of the patients in group A or none in group B had pain/ discomfort in groin area. Conclusion: It can be concluded from this study that the complication rate is comparable in both the groups. There is no significant difference in post operative pain The post operative hospital stay is significantly less in patients with 3D mesh whereas time to return to work in both the groups is comparable. There were no recurrences in the period of 6 months. There was no mortality in hernia surgery in any of the group
Authors and Affiliations
Kuldeep Singh, Anand Singla, Megha Sharma
Keywords
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