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Canadian Journal of Surgery -

A new fixation-free 3D multilamellar preperitoneal implant for open inguinal hernia repair

A new fixation-free 3D multilamellar preperitoneal implant for open inguinal hernia repair

Can J Surg 2017;60(1):66-68 | PDF | Appendix

Antonio Brescia, MD; Federico Tomassini, MD; Giammauro Berardi, MD; Massimo Pezzatini, MD; Umile Michele Cosenza, MD; Davide Castiglia, MD; Anna Dall’Oglio, MD; Adelona Salaj, MD; Marcello Gasparrini, MD

Summary

Between September 2014 and December 2015, 32 patients with inguinal hernia were treated using a new 3D mesh in our department. This mesh is characterized by a multilamellar flower-shaped central core with a flat, large-pore polypropylene ovoid disk that has to be implanted preperitoneally. Compared with the traditional Lichtenstein procedure, we observed a shorter mean duration of surgery and a significantly lower mean visual analogue scale (VAS) postoperative pain score recorded immediately after the procedure in the 3D mesh group. The mean VAS score recoded after 4 and 8 postoperative days showed better results in the 3D mesh group than the control group. Moreover, there was reduced postoperative morbidity in the 3D mesh group than the control group, even if no patients experienced severe complications.


Accepted July 12, 2016; Early-released Dec. 1, 2016

Affiliations: From the Department of General Surgery, Sant’Andrea Hospital, Sapienza University of Rome, Italy.

Competing interests: None declared.

Contributors: All authors contributed substantially to the conception, writing and revision of this article and approved the final version for publication.

DOI: 10.1503/cjs.001416

Correspondence to: F. Tomassini, Department of General Surgery, Sant’Andrea Hospital, Sapienza University of Rome, Via di Grottarossa, 1035/1039, 00189 Rome, Italy; f.tomassini83@tiscali.it