Evaluation of Using Partial Absorbable Mesh (ULTRA-PRO) Versus Conventional (POLYPROPYLENE) Mesh in Inguinal Hernioplasty

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General Surgery, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt

Abstract

Background: One of the most frequently conducted surgeries in general surgery worldwide is the repair of inguinal hernia. Aim: To evaluate the using partially absorbable mesh (Ultrapro ®), compared to non-absorbable mesh (polypropylene), in open inguinal hernia repair regarding Operative time, hospital stay, cost of each mesh, early postoperative pain within a week after surgery, infection, hernia recurrence for 9 months follow up and chronic post hernioplasty pain followed up after 3 & 9 months of surgery. Patients and methods: This comparative clinical prospective randomized research has been performed on one hundred adult cases with uncomplicated inguinal hernia. The cases have been randomized into two equal groups. Patients were followed for nine months. Results: In our study, chronic pain was present after three months in only three patients in (group A) (15%) (ultrapro mesh group). Meanwhile, it was present in 9 patients in group B (45%). There has been a statistically significant distinction among 2 groups while p= 0.038. After nine months, the chronic pain persisted in only one case in (group A) and in seven cases in (group B) (35%). There was a statistically significant distinction between both groups, with p= 0.04. Conclusion: Chronic pain in middle-aged inguinal hernia cases is effectively reduced using lightweight, Ultrapro, and standard prolene mesh, especially when affordable.

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