Comparison of Three Meshes in Lichtenstein Hernia Repair

Kuopio University Hospital300 enrolled

Overview

Chronic pain may be a long-term problem after inguinal Lichtenstein hernioplasty. The aim of this study was to compare long-term results of hernioplasty using three different meshes (partly absorbable, lightweight polypropylene and thick polypropylene mesh).

Inguinal hernioplasty was performed under local anesthesia in 300 patients in day-case surgery by the same surgeon and exactly by the same surgical technique. The patients were randomized to receive either a partly polypropylene-polyglactin mesh (Vypro II, 100 hernias), a lightweight polypropylene mesh (Premilene LP, 100 hernias) or a conventional densely woven polypropylene mesh (Premilene, 100 hernias). Pain, patients discomfort and recurrences of hernias were carefully followed 5 years after surgery.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

300

Conditions

Chronic Pain Recurrences

Interventions

Vypro II meshDEVICE

partly absorbable mesh

Premilene LPDEVICE

lightweight mesh

Premilene meshDEVICE

A conventional polypropylene mesh (82 g/m2)

Eligibility

Sex: ALLMin age: 18 YearsMax age: 85 Years

Medical Language ↔ Plain English

Inclusion Criteria: * uni-or bilateral primary or recurrent inguinal hernia * patients age \>18yrs Exclusion Criteria: * previous mesh hernioplasty * femoral hernia * emergency operation * allergy to polypropylene

Locations (1)

Hannu Paajanen

Kuopio, Finland

Outcomes

Primary Outcomes

Presence of chronic pain

Pain scores were measured by using a visual analoque scale.

Time frame: 5 years

Secondary Outcomes

Presence of recurrences

Recurrence of inguinal hernias after Lichtenstein hernioplasty was studies during clinical and ultrasound examination

Time frame: 5 years

Data from ClinicalTrials.gov

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