Introduction: Lichtenstein tension-free mesh repair (LMR), surgical procedure for inguinal hernia, associated with postoperative pain. The study was aimed to compare self-retaining Freedom ProFlor versus LMR for the reduction of postoperative pain in inguinal hernia.
Methodology: A total of 60 patients with inguinal hernia undergoing mesh repair were randomized into two groups of 30 each: group A (Freedom ProFlor mesh repair) and group B (LMR). Demographic data and clinical findings of all the patients including duration of pain, lump size, cough impulse, and the position of hernia were noted. Recorded findings such as postoperative pain and operative time were subjected to statistical analysis.
Results: Most (31) of the patients had a hernia on the right side. The operative time was significantly less in group A when compared to group B (P < 0.05). Significantly lower pain scores were observed in group A than in group B (P < 0.05). The mean postoperative pain was significantly lower in group A compared with group B during the fifth follow-up visit (0.2 ± 0.41 vs. 1.07 ± 1.28; P < 0.0001).
Conclusion: The Freedom ProFlor mesh repair was better than the LMR regarding postoperative pain. Moreover, the dose of the analgesic needed in the Freedom ProFlor mesh repair group was less and for a shorter time when compared to the LMR group. However, further long-term studies are required for documenting hernia recurrences.
Osilli D, Awori M, Ojuka D. Factors Influencing Choice of Inguinal Hernia Repair Technique. Ann Afr Surg. 2017;14(1):3-9. https://doi.org/10.4314/aas.v14i1.2
Schoots IG, van Dijkman B, Butzelaar RM, Van Geldere D, Simons MP. Inguinal hernia repair in the Amsterdam region 1994-1996. Hernia. 2001 Mar;5(1):37-40. https://doi.org/10.1007/bf01576163
Kingsnorth A, LeBlanc KA. Management of abdominal hernias. Springer Science & Business Media; 2013. [Accessed 01 Jul 2021]. Available From: https://www.springer.com/gp/book/9781848828773
Simons M, Aufenacker T, Bay-Nielsen M, Bouillot J, Campanelli G, Conze J, et al. European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Springer. 2009; 13:334-403. https://doi.org/10.1007/s10029-009-0529-7
Chiow AKH, Chong CK, Tan S-M. Inguinal hernias: a current review of an old problem. Proceed Singpr Healthcare. 2010;19(3):202-11. https://doi.org/10.1177%2F201010581001900306
Mabula JB, Chalya PL. Surgical management of inguinal hernias at Bugando Medical Centre in northwestern Tanzania: our experiences in a resource-limited setting. BMC Res Notes. 2012 Oct 25; 5:585. https://doi.org/10.1186/1756-0500-5-585
Rao SS, Singh P, Gupta D, Narang R. Clinicoepidemiologic profile of inguinal hernia in rural medical college in central India. J MahatmaGandhi Inst Med Sci. 2016 Jan;21(2):116. http://dx.doi.org/10.4103/0971-9903.189543
Chan M, Poon C, Chan K, Leong H. Laparoscopic Total Extraperitoneal Versus Open Lichtenstein Inguinal Hernia Repair In Outpatient Setting. Surg Pract. 2009;13(1):A1.
Collaboration EHT. Repair of groin hernia withsynthetic mesh: meta-analysis of randomized controlled trials. Ann Surg. 2002 Mar;235(3):322-32. https://doi.org/10.1097/00000658-200203000-00003
Kingsnorth A, Wright D, Porter C, Robertson G. Prolene Hernia System compared with Lichtenstein patch: a randomised double blind study of short-term and medium-term outcomes in primary inguinal hernia repair. Hernia. 2002 Sep;6(3):113-9. https://doi.org/10.1007/s10029-002-0066-0
de Jonge PvH, Lloyd A, Horsfall L, Tan R, O’Dwyer P. The measurement of chronic pain and health-related quality of life following inguinal hernia repair: a review of the literature. Hernia. 2008 Dec;12(6):561-9. https://doi.org/10.1007/s10029-008-0412-y
Amato GI, Agrusa AN, Romano GI. Fixation-free inguinal hernia repair using a dynamic self-retaining implant. Surg Technology Int. 2012 Dec; 22:107-12. [Accessed 01 Jul 2021]. Available From: https://iris.unipa.it/handle/10447/102138#.YN11iugzbIU
Amid PK, Shulman AG, Lichtenstein IL. Open" tension-free" repair of inguinal hernias: the Lichtenstein technique. Eur J Surg. 1996 Jun;162(6):447-53. [Accessed 01 Jul 2021]. Available From: https://cbc.org.br/wpcontent/uploads/2015/10/102015EJS.pdf
John WM, Ashwin P. Comparison of Lichtenstein and Proflor™ Open Inguinal Hernia Repair in Regards to Immediate Post-Op Pain: A Randomized Double Blinded Registered Clinical Study. J Surg Transplant Sci. 2016;4:1040. [Accessed 01 Jul 2021]. Available From: https://www.jscimedcentral.com/Surgery/surgery-4-1040.pdf
de Jonge PV, Lloyd A, Horsfall L, Tan R, O’Dwyer PJ. The measurement of chronic pain and health-related quality of life following inguinal hernia repair: a review of the literature. Hernia. 2008;12(6):561-9. https://doi.org/10.1007/s10029-008-0412-y
Bansal VK, Misra MC, Babu D, Victor J, Kumar S, Sagar R, et al. A prospective, randomized comparison of long-term outcomes: chronic groin pain and quality of life following totally extraperitoneal (TEP) and transabdominal preperitoneal (TAPP) laparoscopic inguinal hernia repair. Surg Endosc. 2013 Jul;27(7):2373-82. https://doi.org/10.1007/s00464-013-2797-7
Brescia A, Tomassini F, Berardi G, Pezzatini M, Cosenza UM, Castiglia D, et al. A new fixation-free 3D multilamellar preperitoneal implant for open inguinal hernia repair. Can J Surgery. 2017 Feb;60(1):66-68. https://doi.org/10.1503/cjs.001416
Paliwal CK, Jindel DK, Garg KM. Minimal Dissection: No Fixation Technique For Inguinal Hernia Repair. IOSR Journal of Dental and Medical Sciences. 2016;1(15):34-42. [Accessed 01 Jul 2021]. Available From: https://www.iosrjournals.org/iosr-jdms/papers/Vol15-issue1/Version-8/F015183442.pdf
Bülbüller N, Çetinkaya Z, Kirkil C, Ayten R, Aygen E, Girgin M, et al. Inguinal Hernia Repair via Application of Mesh in Front of and behind the Fascia Transversalis. Ind J Surg. 2014 Apr;76(2):124-6. https://doi.org/10.1007/s12262-012-0646-x
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2019 Rao KN et al.