Randomized clinical trial comparing self‐gripping mesh with suture fixation of lightweight polypropylene mesh in open inguinal hernia repair. BJS 2014; 101: 1373-1382.
Published: 21st August 2014
Authors: D. L. Sanders, S. Nienhuijs, P. Ziprin, M. Miserez, M. Gingell‐Littlejohn, S. Smeds et al.
Postoperative pain is an important adverse event following inguinal hernia repair. The aim of this trial was to compare postoperative pain within the first 3 months and 1 year after surgery in patients undergoing open mesh inguinal hernia repair using either a self‐gripping lightweight polyester mesh or a polypropylene lightweight mesh fixed with sutures.
Adult men undergoing Lichtenstein repair for primary inguinal hernia were randomized to
In total 557 men were included in the final analysis (self‐gripping mesh 270, sutured mesh 287). Early postoperative pain scores were lower with self‐gripping mesh than with sutured lightweight mesh: mean visual analogue pain score relative to baseline +1·3 and +8·6 respectively at discharge (
Self‐gripping mesh for open inguinal hernia repair was well tolerated and reduced early postoperative pain (within the first week), without increasing the risk of early recurrence. It did not reduce chronic pain. Registration number:
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