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The purpose of this study was to compare clinical outcomes following sutureless ProGrip™ mesh repair to traditional Lichtenstein repair with polypropylene mesh secured with sutures. Data were collected prospectively and were analyzed for 57 male and 3 female patients with 60 inguinal hernias. All patients included underwent open surgical repair for...
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Context 1
... procedures were performed using the parietex ProGrip mesh manufactured by Covidien. The macroporous polyester mesh has resorbable polylactic acid (PLA) micro-grips on one side of the mesh, which secure quickly without sutures, tacks, fibrin glue, or any other form of fixation ( Figure ...
Context 2
... 2008, Covidien launched ProGrip™ mesh (Figure 1), a self-gripping mesh indicated for the use in inguinal and incisional hernia repairs. ProGrip™ as designed to offer patients greater comfort following surgery, and allow physicians the ability to position and secure the mesh in less than 60 seconds, which may contribute to the reduction of operation time (Kapischke et al., 2010). The macroporous polyester mesh has resorbable polylactic acid (PLA) micro-grips on one side of the mesh, which secure quickly without sutures, tacks, fibrin glue, or any other form of fixation (Chastan, ...
Similar publications
Between September 2014 and December 2015, 32 patients with inguinal hernia were treated using a new 3D mesh in our department. This mesh is characterized by a multilamellar flower-shaped central core with a flat, large-pore polypropylene ovoid disk that has to be implanted preperitoneally. Compared with the traditional Lichtenstein procedure, we ob...
A new technique for the repair of inguinal hernia, called Onstep, has been described. This technique places the mesh in the preperitoneal space medially and between the internal and external oblique muscles laterally. The Onstep technique has not yet been described outside the inventors' departments. This study was based on the first 80 patients op...
PURPOSE
To evaluate the safety and efficacy of a new mesh in the pre-peritoneal repair of inguinal hernia.
METHODS
We randomly divided 120 patients undergoing pre-peritoneal repair into 2 groups between March 2012 and December 2013. The patients were randomized to receive the Swing mesh (n=60; study group) or the Modified Kugel mesh (n=60; control...
Background
Chronic postoperative pain occurs in up to 21·7 per cent of patients undergoing open inguinal hernia repair. Several mesh fixation techniques using glue or self‐gripping meshes have been developed to reduce postoperative pain. The aim of this meta‐analysis was to evaluate RCTs comparing adhesional/self‐gripping and sutured single‐layer o...
Citations
... Recently, self-gripping meshes have been created to eliminate the need for additional fixation. The selffixation mesh is made of monofilament polyester and polylactic acid grips (PLA), and it is indicated for repairing both inguinal and incisional hernias [7]. ...
Background
Inguinal hernia is one of the most common conditions in India, and history has many repair techniques recorded in it. Postoperative pain still remains a problem despite tension-free hernioplasty being accepted as the gold standard. Increased duration of surgery not only exposes the patient to unwanted increased chances of mesh infection but also reduces the surgeon's productivity if continued persistently. In this study, the main aim was to compare the fixation techniques of polypropylene mesh vs. self-gripping mesh in inguinal hernia surgery in terms of duration of surgery, postoperative pain, seroma, recurrence, foreign body sensation, and wound infections.
Methods
It is a prospective, comparative, and quantitative study conducted at Sri Ramachandra Institute of Higher Education and Research in the Department of General Surgery. Patients presenting with inguinal hernia to the OPD were included in the study. The sampling technique used in this study is simple, convenient sampling. As a result, the calculation of the margin of error and confidence levels may be difficult. Nevertheless, the sample accurately represents the population. Patients were divided into two groups: the study group (25), patients undergoing hernioplasty with self-gripping mesh, and the control group (25), patients undergoing hernioplasty with polypropylene mesh using conventional suturing. The duration of surgery, postoperative pain, seroma, recurrence, foreign body sensation, and wound infections were compared and analyzed between the two groups.
Results
In this study, the duration of surgery was less than one hour for three patients (12%) in the control group (polypropylene), compared to 13 (52%) patients in the study group (self-gripping), which is statistically significant. The early postoperative pain on POD 0 was greater than 4 (visual analogue score) in 8 (32%) patients in the control group and two (8%) patients in the study group. There were no significant differences in chronic pain, recurrence rate, seroma rate, or wound infection between the two groups.
Conclusions
In our study, we conclude that self-gripping mesh is superior to polypropylene mesh in surgery of inguinal hernia in terms of shorter duration of surgery. There is also reduced pain in the immediate postoperative period though not statistically significant. There is no significant difference in both the groups in terms of seroma formation, wound infection, foreign body sensation, and recurrence.
... In a case series of 60 patients with inguinal hernia repaired with ProGrip meshes, it was found that they had resumed their activities faster and experienced less pain compared with patients subjected to repair using other prosthesis [26]. Another case series reported that the pain scores experienced by ProGrip patients was much less than the prolene patients [27]. ...
Background Surgical repair of hernia is considered to be one of the most repeatedly conducted operations all over the world.
Aim This study has been carried out to obtain well-established information about surgery duration, hospital stay, and short-term and long-term complications, following inguinal or ventral hernia repair using ProGrip meshes.
Patients and methods A total of 50 patients with right oblique inguinal hernia (Rt. OIH), left oblique inguinal hernia (Lt. OIH), or paraumbilical hernia and epigastric hernia (PH or EH) ventral hernia were enrolled in this study. Operative repair was performed using self-gripping polyester meshes. Follow-up to compare the anticipated outcomes of these hernia types was done.
Results Most of the short-term and long-term complications were found to be low in Rt. OIH, Lt. OIH, and PH or EH ventral hernias. Hospital stay was found to be 1–2 days in all of them. Return to work was 10–14 days. Patient satisfaction was 100% in Rt. OIH, and a little below in other types of hernias. Hematoma was found to be 0–13.3%, seroma in 0–23.3%, pain in 10–30%, wound infection in 0–16.7%, and recurrence 0–10%.
Conclusion For the ProGrip meshes, they are recommended to be used in both Rt. OIH and Lt. OIH, as well as EH and PH.
... In a case series of 60 patients with inguinal hernia repaired with ProGrip meshes, it was found that they had resumed their activities faster and experienced less pain compared with patients subjected to repair using other prosthesis [26]. Another case series reported that the pain scores experienced by ProGrip patients was much less than the prolene patients [27]. ...
... Batabyal et al. (8) in their study observed 89% patients to be males and rest 11% to be females. Yilmaz et al. (11) observed that out of 60 patients 57 were males (95%) and 3 females (5%). Tarchi et al. (12) in their study observed that 94.3% patients were males and 5.7% were females. ...
... Chastan et al. (14) observed mean VAS at the time of discharge to be 1.1±1.2 on the left side and 1.4±1.4 on the right side which decreased after one month to 0.3±0.6 on the left side and 0.1±0.4 on the right side. Yilmaz et al. (11) found in their study that self-fixating group patients had a mean VAS of 1.5 at 7th post-operative day and 0.6 at 4 weeks after surgery, compared to 4.4 in fixation group after 7 days and 1.33 seen 4 weeks later. Wang et al. (10) found in their study that VAS decreased from 32 to 10.6 on 1st postoperative day to 0.67±2.5 at 6 months post operatively. ...
The concept of sutureless mesh as well as light weight mesh came into play because of inguinodynia. This study was chosen most importantly to determine the post-operative persisting chronic pain after the use of sutureless mesh. Data was collected from patients attending Govt. Medical College & Hospital, Jammu OPD, admitted in the department of surgery that underwent sutureless mesh hernioplasty for inguinal hernias. These patients were followed up at 3 days, 3 weeks, 3 months and 6 months for postoperative pain, any recurrence or development of complications. In this study, 40 patients having inguinal hernia were taken. 38 (95%) were males and 2 (5%) were females. The age of the patients ranged between 30 to 80 years with mean age of 54.53±14.88 years. Post-operative pain was studied according to VISUAL ANALOG SCALE scoring, out of 10. Mean post-operative pain score after 3 days was 2.70±1.16, which decreased to 0.85± 1.10 at 3 weeks (68.52% decrease) and after 3 months it was 0.30±0.72 (with an 88.89% decrease). There were no other complications. The study concluded that the use of self-fixating mesh in open inguinal hernia repair is a simple, safe, rapid and effective option and is associated with low post-operative pain.
... This result was similar to a multicenter study carried out in Istanbul Medipol university, Isthanbul, Turkey. 15 Similar results were also noted in Department of Surgery, Derriford Hospital, United Kingdom. 16 However in a study conducted in China at Department of Hernia and Abdominal Wall Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing did not show any statistical difference in the post-operative pain among both groups self-fixating. ...
Background: Post-operative pain is a disabling complication of inguinal hernia repair. Sutures that are used to anchor the mesh are blamed for tissue tension and nerve entrapment leading to postoperative pain. Self-fixating mesh, a bicomponent mesh with resorbable polylactic acid gripping system can produce a tension-free repair without sutures, reducing the potential of post-operative pain. The objectives of the study were to compare postoperative pain, the operating time and the efficacy in terms of recurrence among patients undergoing Lichtenstein’s inguinal hernia repair with self-fixating mesh and conventional polypropylene mesh. Methods: A prospective observational study was conducted among 120 patients. Half of them underwent Lichtenstein’s inguinal hernia repair with self-fixating mesh which did not require sutures and the other half with conventional polypropylene mesh which were anchored with polypropylene sutures. Time taken to complete surgery was noted. Postoperative pain was charted using a visual analogue scale at 15 days, 3 months, 6 months and at 1 year during the follow up.Results: Median postoperative pain score and operating time was significantly lower in patients who underwent repair with self-fixating mesh. None of the patients had recurrence at the end of 1 year follow up period. Conclusions: Self-fixating mesh can reduce the postoperative pain and the operating time in patients undergoing Lichtenstein’s inguinal hernia repair when compared with a conventional polypropylene mesh. The self-fixating mesh is as efficacious as conventional polypropylene mesh in preventing recurrences.
... Development of self-gripping mesh which avoids the need for mesh fixation is the latest technique aimed at reducing CPIP. This self-gripping mesh (figure-1) has reabsorbable polylactic acid (PLA) micro-grips (figure-2) which secures easily to the underlying tissue without sutures, tackers, fibrin glue, or any other form of fixation [13]. ...
Objective: The aim of this study was to compare the post-operative groin pain and other postoperative complications of self-gripping
mesh with conventional sutured mesh in open inguinal hernioplasty.
Methods: The present study was a prospective comparative study between self-gripping mesh (polyester mesh with polylactic acid
grips) and sutured mesh (polypropylene) in open inguinal hernioplasty under spinal anesthesia. This study was conducted from 1st
November 2018 to 31st March 2020 in ABVIMS & Dr. R.M.L. Hospital, New Delhi. The potential candidates for the study were
patients of 18 years age and above, presenting with a unilateral uncomplicated inguinal hernia that underwent open inguinal
hernioplasty under spinal anesthesia. Sixty patients were alternatively allotted to group A (self-gripping mesh) and group B (sutured
mesh) for comparison.
Results: The mean age of patients under study was 44.42±6.8 years with cases ranging from 18 to 83 years. In group-A mean age was
47.03±2.3 years and in group-B mean age was 41.80±3.1 years. In group-A time taken for mesh placement of self-gripping mesh
ranged from 42-74 seconds with a mean time of 58.73 ± 7.529 seconds while in group-B, it was ranged from 287-589 seconds with
the mean time of 404.10 ± 70.371 seconds. Post-operative pain in both the groups in post-operative day 1, at 1 week, at 1 month &
at 3 months was studied which was assessed using VAS (visual analogue scale) score. Pain in post-operative day 1 and at 1 week was
less in self-gripping mesh since the P-value for both was <0.05, which was statistically significant. However, it was not statistically
significant for post-operative pain at 1 month and 3 months (P-value for post-operative day at 1 month was 0.175 & for 3 months
was 0.544). Chronic groin pain was also statistically not significant in comparison to both the groups.
Conclusion: The self-gripping mesh can be recommended for the repair of uncomplicated inguinal hernia due to less operative time,
faster recovery and less post-operative pain but with additional cost.
Keywords: Self-gripping mesh, Lichtenstein repair, uncomplicated inguinal hernia, recurrence
... The Google search for IHRM identified some scientific papers [16][17][18] that were beyond the comprehension of a layperson. There was also evidence of a litigious interest in the area of mesh repair [19]. ...
Objective: Surgical innovation (SI) can place patients at risk. We sought to explore what clinical information is readily available to patients who have been offered innovative surgical procedures, using two examples drawn from our recent experience: one a surgical technique, and the other a prosthetic material. We wanted to determine from our review the extent to which information available on the Internet might augment the medical literature and help satisfy the ethical requirements for patients to be adequately informed before they proceed with innovative surgery.
Methods: A scoping review of the medical literature was performed to look for studies addressing the review aims; targeted searches on Google, YouTube, and patient websites were carried out to find readily available patient information on two chosen innovative surgical procedures. We conducted a content analysis of the selected references to determine the availability, relevance, and the utility of the published information to a layperson.
Results: Medical database searches identified 614 records, 91 were screened and only six were relevant. The Internet searches returned thousands of results; however, we limited our screening to the first five pages of results for those sources. From both types of searches, 348 references were excluded because they did not meet the inclusion criteria and 51 were included in the analysis. The findings are presented in four themes: safety and feasibility of the technique, availability and accessibility to a layperson, relevance and utility to a layperson, and commercial information.
Conclusion: The review has shown that lay people seeking to find out more about the two innovations would get very little useful information from Google, YouTube, or patient websites. Practitioners offering SI should provide sufficient information to allow their patients to make an autonomous decision about whether to proceed. For major SI, we encourage innovators to develop a plain language statement that would be made available on the Internet to the mutual advantage of both innovators and patients.
... Progrip or prolene repair was applied to 90 cases included in a prospective study conducted by Wang et al. between 2012 and2013. It was determined that progrip graft was significantly superior in terms of post-operative pain and returning to work as a result of 6-month follow-up (8). ...
Objectives:
The study aimed to compare the techniques applying prolene mesh and progrip-self fixating mesh in terms of post-operative pain, limitation of movement and quality of life.
Material and methods:
The study was conducted from November 2014 to January 2016 in Department of Surgery, Manisa Celal Bayar University Hospital. The study recruited 50 male patients, aged 18 and over and was carried out as a double blinded procedure. Twenty-five patients were randomly selected to receive hernia repair by progrip self-fixating mesh and 25 patients were treated with hernia repair with suture fixation method by using prolene grafts, and patients' pain follow-up was performed with face-to-face or telephone interviews with VAS (Visual Analogue Scale) and return to daily routine activities were evaluated with SF-36 (Short Form-36) quality of life scale. Recurrent hernias and emergency cases were excluded.
Results:
The pain scores were lower and a statistically significant difference was achieved in patients in whom progrip self-fixating mesh was used in the early postoperative period. Both methods gave statistically similar results in terms of pain and quality of life.
Conclusion:
In the literature, there are some evidence that the repair applied with progrip self-fixating graft has more positive outcomes compared to the repairs applied with suture fixation. It is concluded that there is a need for longer follow-ups and larger series of cases in order to achieve a definite result.
... Because of the lack of suture in the self-gripping mesh repair, operation duration of the PG group was significantly shorter than that of the PL group, which was comparable to previous trials. 8,[16][17][18][19] According to the viewpoint of health economics, the shorter surgery duration could lead to better utilization of operating room and shorter waiting time for operation. 20 At the one week follow-up, no difference was testified regarding analgesic used, wound pain, hospital stay, urinary retention, wound infection, and seroma. ...
Several randomized trials comparing self-gripping mesh with polypropylene (PL) mesh in Lichtenstein hernioplasty revealed that the self-gripping mesh significantly reduced the operation time. In these studies, some enrolled only male patients, and in others, the proportion of women was extremely low. The aim of this research was to compare outcomes after self-gripping mesh repair with PL mesh secured with sutures in female Lichtenstein hernioplasty. Female patients with primary unilateral inguinal hernia were assigned randomly to undergo Lichtenstein hernioplasty with a self-gripping ProGrip (PG) mesh or a sutured PL mesh, followed-up at one week, one month, three months, one year, and two years. Demographics, hernia characteristics, and operative outcomes data were analyzed. Pain was assessed with a visual analog scale (0-10), and quality of life (QOL) was estimated by a 36-item short-form general survey (0-26). Forty eight patients in the PG group and 51 participants in the PL group completed the follow-up. The operation time of the PG (54.1 ± 12 minutes) group was significantly shorter than that of the PL (60.9 ± 11.3 minutes) group (P = 0.045). At the one-month follow-up, the incidence of foreign body feeling in the PG group was significantly higher than that in the PL group (P = 0.031), whereas no significant difference was observed in visual analog scale ≥3 and QOL. In a follow-up of three months, one year, and two years, there was no significant difference in foreign body feeling, chronic pain, QOL, and recurrence between two groups. The surgical outcomes of self-gripping mesh are comparable to those of the ordinary PL mesh with a reduced operation time in female Lichtenstein hernioplasty. Registration number: ChiCTR1800017360 ( http://www.chictr.org.cn ).
... Any mesh should have the usual properties of any implant, including being non-allergenic, non-carcinogenic, have good incorporation into tissue it is replacing or reinforcing [6] . In 2008, Covidien launched self gripping (parietex® progrip®) mesh indicated for the use in inguinal hernia and incisional hernia repairs, to offer patients greater comfort following surgery, and allow surgeons the ability to position and secure the mesh and reduction of the of the operation time [7] . It is an isoelastic large pore knitted fabric of monofilament polyester that incorporates biodegradable polylactic acid (PLA) progrips. ...
