It was reported via journal article: "title: lichtenstein technique for inguinal hernia repair using polypropylene mesh fixed with sutures vs.Self-fixating polypropylene mesh: a prospective randomized comparative study" authors: g.Chatzimavroudis, b.Papaziogas, i.Koutelidakis, i.Galanis, s.Atmatzidis, p.Christopoulos, t.Doulias, k.Atmatzidis, j.Makris.Citation: hernia.2014; 18: 193 198.Doi: 10.1007/s10029-013-1211-7.The aim of this prospective randomized study was to evaluate the effect of a relatively new mesh with self-fixating properties, used to repair inguinal hernia with the lichtenstein technique, on early and chronic post-operative pain.Between june 2009 and june 2010, a total of 50 patients (48 males and 2 females; mean age of 60.5 ± 17.3 years) with primary unilateral inguinal hernia were treated using the lichtenstein technique.Patients were randomly assigned to receive either a polypropylene mesh, fixed with polypropylene sutures (n- 25; group a), or a self-fixating polypropylene mesh with resorbable polylactic acid microgrips (n-25; group b).During the surgical procedure in group a, the traditional lichtenstein technique was performed using a heavy-weight prolene polypropylene mesh which was trimmed according to each patient¿s inguinal floor size, with special attention to overlap the pubic tubercle by 2 cm medially.The mesh was secured in place with prolene 2-0 sutures.In group b, 1 prolene 2-0 suture was placed superficially to the pubic tubercle to prevent mesh dislocation.In group a, reported complications included seroma (n-7) and hematoma (n-4).In group b, reported complications included seroma (n-10) and hematoma (n-3).In all patients with seroma or hematoma, the fluid collection had been completely absorbed at the 3-month follow-up.It was concluded that the self-fixating mesh can be safely and effectively used for inguinal hernia repair.
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