Randomized clinical trial comparing self‐gripping mesh with a standard polypropylene mesh for open inguinal hernia repair. BJS 2016; 103: 812-818.
Published: 27th April 2016
Authors: T. Verhagen, W. A. R. Zwaans, M. J. A. Loos, J. A. Charbon, M. R. M. Scheltinga, R. M. H. Roumen et al.
The introduction of mesh for open inguinal hernia repair has reduced the rate of recurrence, allowing research to focus on prevention of postoperative pain. In an effort to reduce chronic pain, a semiresorbable, lighter and self‐gripping mesh was developed.
A double‐blind randomized clinical trial was conducted comparing the self‐gripping mesh with a standard polypropylene mesh repair. Patients over 18 years of age undergoing open primary hernia repair were included. Pain was measured on a six‐point verbal rating scale (
A total of 363 patients were analysed. Median age was 59 (range 19–88) years. Baseline
A self‐gripping mesh for hernia repair may result in less pain in the early postoperative phase but chronic postherniorraphy pain is not affected. Recurrence rates may be a potential disadvantage. Registration number:
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