6533b85ffe1ef96bd12c135f
RESEARCH PRODUCT
Modified fixation free plug technique using a new 3D multilamellar implant for inguinal hernia repair: a retrospective study of a single operator case series.
Antonino AgrusaGaspare GulottaGiorgio RomanoGiuseppe AmatoGianfranco CocorulloG. Di BuonoS. Mularosubject
AdultMalemedicine.medical_specialtyHerniaAdolescentmedicine.medical_treatmentprostheses and implantOperative TimeHernia InguinalPolypropylenesProsthesis DesignFixation (surgical)HematomaPostoperative ComplicationsRetrospective Studiemedicineprosthesis fixation.HumansHerniaHerniorrhaphyAgedRetrospective StudiesAged 80 and overPain Postoperativebusiness.industryHernia; Herniorrhaphy; Inguinal; Prostheses and implants; Prosthesis fixation; Adolescent; Adult; Aged; Aged 80 and over; Female; Hernia Inguinal; Herniorrhaphy; Humans; Male; Middle Aged; Operative Time; Pain Postoperative; Polypropylenes; Postoperative Complications; Prosthesis Design; Retrospective Studies; Treatment Outcome; Surgical Mesh; Surgery; Medicine (all)Medicine (all)Chronic painMiddle AgedSurgical Meshmedicine.diseaseHernia repairSurgeryInguinal herniaSettore MED/18 - Chirurgia GeneraleSurgical meshTreatment OutcomeinguinalSurgeryFemaleImplantPostoperative ComplicationbusinessProsthesis fixationPolypropylenehernia; inguinal; herniorrhaphy; prostheses and implants; prosthesis fixation.Humandescription
Aim: Implant fixation, mesh shrinkage and poor quality of tissue ingrowth are unresolved issues in modern hernia repair. Many complications reported in the literature such as bleeding, nerve entrapment, hematoma, pain, discomfort, and testicular complications, are considered to be a direct results of implant fixation. This article describes the outcomes of a procedure carried out using a handcrafted implant that addresses the issues consequent to point fixation. Methods: This was a retrospective study on the short, medium and long-term results of placing a-modified, fixation free three-dimensional polypropylene implant in 61 patients who underwent inguinal hernia repair using a novel delivery technique. The follow up length was at least 36 months postop. Results: Only minor adverse events and a low complication rate of the procedure were observed in this patient sample. There were no long- term complications. Postoperative pain was very low in both the short and long term. No chronic pain was reported. No recurrences occurred. Conclusion: The results of this retrospective study on a new method of inguinal hernia repair using a three dimensional handcrafted multilamellar implant delivered with a modified placement technique are promising. The short-, medium- and long-term complications were notably low. No recurrences were noticed but, more importantly, no chronic pain and extremely low discomfort rates were observed even in the long term. © 2013 Springer-Verlag France.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2013-05-08 | Hernia : the journal of hernias and abdominal wall surgery |