Soham Shah* and Samir M Shah
Department of General Surgery, Government Medical College, IndiaFulltext PDF
Objectives: Lightweight Polypropylene mesh gives risk of recurrence, owing to overall decrease in the size of mesh and increased subjective foreign body feeling from contracture and scarring. A lightweight 3D polyester mesh for laparoscopic inguinal hernia repair is associated with minimal risk of postoperative pain, discomfort and recurrence.
Methods: In this study 25 cases of inguinal hernias are treated laparoscopically with TEP with use of lightweight polypropylene mesh and another 25 cases of inguinal hernias are treated with lightweight 3D polyester mesh at Sir Takhtsinhji General Hospital and Government Medical College, Bhavnagar. The following observations were observed for postoperative pain, use of analgesia and postoperative discomfort up between September 2017 to January 2019.
Results: From our study of 50 cases of inguinal hernia using lightweight polypropylene mesh and lightweight 3D polyester mesh, it can be said that lightweight 3D polyester mesh is better than lightweight polypropylene mesh as lightweight 3D polyester mesh is more malleable so deployment time intraoperative is less and there is also less postoperative pain.
Conclusion: The use of 3D lightweight polyester mesh for laparoscopic TEP inguinal hernia repair is a safe and viable option. It offers many advantages in terms of decreased chronic groin pain and decreased postoperative use of analgesia.
Lightweight Polypropylene mesh; Lightweight 3D Polyester mesh; Hernia
Shah S, Shah SM. A Study of Comparison of Light Weight 3D Polyester Mesh vs. Light Polypropylene Mesh in Laparoscopic Inguinal Hernia Repair. Clin Surg. 2019; 4: 2405.