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Open inguinal hernia repair with the use of polyglycolic acid/trimethylene carbonate absorbable mesh: a critical update of the long-term results

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A Comment to this article was published on 29 May 2013

Abstract

Purpose

Our group evaluated on a pilot basis open inguinal hernia repair with the use of a fully absorbable mesh aiming to take mesh inguinal hernia repair one step forward. The purpose of the present study was to assess the long-term results of the proposed technique.

Methods

Patients that were included in our previous report were followed up at 3 years after the initial operation.

Results

Ten patients underwent open inguinal hernia repair with the use of an absorbable polyglycolic acid/trimethylene carbonate mesh. 3 years after the procedure, from the total of ten patients, two were lost to follow-up (20 %). Three patients (37.5 %), one with direct and two with indirect hernia, were diagnosed clinically with a recurrence at the follow-up of 3 years. Recurrences were developed nearly 2 years—median 24 months (range 18–30)—after the initial operation. Among patients without recurrence none complained about chronic pain, foreign body sensation or numbness. On the other hand, chronic pain was a constant complain in the recurrence patient group.

Conclusions

The results of the 3-year follow-up in the given patient sample alleviate the initial enthusiasm regarding the use of an absorbable mesh for inguinal hernia repair as an attractive alternative and causes skepticism about the generalized use of the procedure in its certain form.

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References

  1. Simons MP, Aufenacker T, Bay-Nielsen M, Bouillot JL, Campanelli G, Conze J, de Lange D, Fortelny R, Heikkinen T, Kingsnorth A, Kukleta J, Morales-Conde S, Nordin P, Schumpelick V, Smedberg S, Smietanski M, Weber G, Miserez M (2009) European hernia society guidelines on the treatment of inguinal hernia in adult patients. Hernia 13(4):343–403

    Article  PubMed  CAS  Google Scholar 

  2. EU Hernia Trialists Collaboration (2002) Repair of groin hernia with synthetic mesh: meta-analysis of randomized controlled trials. Ann Surg 235(3):322–332

    Article  Google Scholar 

  3. Bringman S, Wollert S, Osterberg J, Smedberg S, Granlund H, Heikkinen TJ (2006) Three-year results of a randomized clinical trial of lightweight or standard polypropylene mesh in Lichtenstein repair of primary inguinal hernia. Br J Surg 93(9):1056–1059

    Article  PubMed  CAS  Google Scholar 

  4. Langenbach MR, Schmidt J, Zirngibl H (2003) Comparison of biomaterials in the early postoperative period. Surg Endosc 17(7):1105–1109

    Article  PubMed  CAS  Google Scholar 

  5. Efthimiou M, Symeonidis D, Koukoulis G, Tepetes K, Zacharoulis D, Tzovaras G (2011) Open inguinal hernia repair with the use of a polyglycolic acid-trimethylene carbonate absorbable mesh: a pilot study. Hernia 15(2):181–184

    Article  PubMed  CAS  Google Scholar 

  6. Hsu W, Chen CS, Lee HC, Liang HH, Kuo LJ, Wei PL, Tam KW (2012) Preservation versus division of ilioinguinal nerve on open mesh repair of inguinal hernia: a meta-analysis of randomized controlled trials. World J Surg 30 May 2012

  7. Li J, Ji Z, Cheng T (2012) Lightweight versus heavyweight in inguinal hernia repair: a meta-analysis. Hernia 12 June 2012

  8. Uzzaman MM, Ratnasingham K, Ashraf N (2012) Meta-analysis of randomized controlled trials comparing lightweight and heavyweight mesh for Lichtenstein inguinal hernia repair. Hernia 28 Feb 2012

  9. Markar Mrcs SR, Karthikesalingam Mrcs A, Alam Mrcs F, Tang TY, Walsh SR, Sadat U (2010) Partially or completely absorbable versus nonabsorbable mesh repair for inguinal hernia: a systematic review and meta-analysis. Surg Laparosc Endosc Percutan Tech 20(4):213–219

    Article  Google Scholar 

  10. Grant AM, EU Hernia Trialists Collaboration Hernia (2002) Open mesh versus non-mesh repair of groin hernia: meta-analysis of randomised trials based on individual patient data [corrected]. Hernia 6(3):130–136

    Article  PubMed  CAS  Google Scholar 

  11. Lichtenstein IL, Shulman AG, Amid PK (1990) Use of mesh to prevent recurrence of hernias. Postgrad Med 87(1):155–158, 160

    Google Scholar 

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Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of General Surgery, University Hospital of Larissa, Aulidos 7, 41335, Larissa, Greece

    D. Symeonidis, M. Efthimiou, G. Koukoulis, E. Athanasiou, I. Mamaloudis & G. Tzovaras

Authors
  1. D. Symeonidis
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  2. M. Efthimiou
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  3. G. Koukoulis
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  4. E. Athanasiou
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  5. I. Mamaloudis
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  6. G. Tzovaras
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Corresponding author

Correspondence to D. Symeonidis.

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Symeonidis, D., Efthimiou, M., Koukoulis, G. et al. Open inguinal hernia repair with the use of polyglycolic acid/trimethylene carbonate absorbable mesh: a critical update of the long-term results. Hernia 17, 85–87 (2013). https://doi.org/10.1007/s10029-012-1016-0

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  • DOI: https://doi.org/10.1007/s10029-012-1016-0

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