Chronic Pain
Conditions
Keywords
Inguinal hernia, Open mesh repair, Long term outcome, Recurrence, Discomfort
Brief summary
This randomised prospective study was designed to compare the convalescence and the long-term sequelae in inguinal hernia repair with either a bilayer mesh as devised by Gilbert (Prolene Hernia System®) or an onlay mesh applied according to Lichtenstein.
Interventions
Inguinal hernia repair either with the bilayer mesh or the Lichtenstein technique
Prolene Hernia System
Lichtenstein technique
Sponsors
Study design
Eligibility
Inclusion criteria
* Uni- or bilateral * Primary or recurrent
Exclusion criteria
* body-mass index over 40kg/m2, severe co-morbidities
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Long-term Sequelae | 5 years | Any pain at five years |
Countries
Finland
Participant flow
Recruitment details
Included were 300 adult patients (282 men, 18 women) referred for elective repair having unilateral or bilateral inguinal hernias. Study period: September 2001 - January 2004, outpatient unit of Jorvi Hospital (Helsinki University Central Hospital, Espoo, Finland).
Participants by arm
| Arm | Count |
|---|---|
| Prolene Hernia System Device Inguinal hernia repair either with a bilayer mesh (PHS) | 150 |
| Lichtenstein Inguinal hernia repair with the Lichtenstein technique | 149 |
| Total | 299 |
Baseline characteristics
| Characteristic | Prolene Hernia System Device | Lichtenstein | Total |
|---|---|---|---|
| Age, Continuous | 46 years | 47 years | 46 years |
| Region of Enrollment Finland | 150 participants | 149 participants | 299 participants |
| Sex: Female, Male Female | 10 Participants | 8 Participants | 18 Participants |
| Sex: Female, Male Male | 140 Participants | 141 Participants | 281 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 0 / 150 | 0 / 149 |
| serious Total, serious adverse events | 0 / 150 | 0 / 149 |
Outcome results
Long-term Sequelae
Any pain at five years
Time frame: 5 years
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Prolene Hernia System Device | Long-term Sequelae | 10 percentage of participants |
| Lichtenstein | Long-term Sequelae | 13 percentage of participants |