%0 Journal Article
%T Randomized clinical trial comparing inguinal hernia repair with Lichtenstein technique using non-absorbable or partially absorbable mesh. Preliminary report
%A Konrad Pielaci¨½ski
%A Andrzej B. Szczepanik
%A Andrzej Misiak
%A Tadeusz Wr¨®blewski
%J Videosurgery and Other Miniinvasive Techniques
%D 2011
%I Termedia Publishing House
%X Introduction: The Lichtenstein technique is currently considered the ¡°gold standard¡± of open, anterior inguinal herniarepair. It is not free, however, of adverse effects, which may be caused by the implemented synthetic material. Aim: Determination the influence of the mesh employed on treatment results including immediate complications,return to everyday activities, chronic pain occurrence and hernia recurrence. Material and methods: Tension-free hernia repair using the Lichtenstein technique was performed in all the 59patients randomized to trial groups. Group P with heavyweight polypropylene mesh contained 34 patients; group Vwith lightweight, partially absorbable mesh (polypropylene/polyglactin 910) consisted of 25 people. Controlled, scheduledfollow-up appointments took place after the 7th day and the 3rd and 6th month. Patients were clinically assessedand pain intensity was determined on an analogue-visual scale.Results: No statistically significant influence of the type of mesh on the risk of early complications, severe pain intensity,the length of hospital stay, time of recovery, or patients¡¯ satisfaction with treatment was observed. After 6 monthsalso no statistically significant differences were observed between groups with regard to recurrence rate (P 3.4% vs.V 4.0%), chronic pain (P 5.9% vs. V 4.0%) and ailments such as ¡°foreign body presence¡± (V vs. P, OR = 0.30, 95% CI0.077-1.219, p = 0.093) incidence, although their probability was 70% lower for V mesh. Conclusions: The preliminary results confirm the effectiveness of the Lichtenstein technique for hernia repair withboth types of meshes. It appears that use of a partially absorbable mesh is connected with
%K inguinal hernia
%K Lichtenstein technique
%K non-absorbable and partially absorbable mesh
%U http://www.termedia.pl/Randomized-clinical-trial-comparing-inguinal-hernia-repair-with-Lichtenstein-technique-using-non-absorbable-or-partially-absorbable-mesh-Preliminary-report,42,17849,1,0.html