Chronic Pain, Recurrences
Conditions
Keywords
inguinal hernia, Lichtenstein hernioplasty, chronic pain
Brief summary
Chronic pain may be a long-term problem after inguinal Lichtenstein hernioplasty. The aim of this study was to compare long-term results of hernioplasty using three different meshes (partly absorbable, lightweight polypropylene and thick polypropylene mesh).
Detailed description
Inguinal hernioplasty was performed under local anesthesia in 300 patients in day-case surgery by the same surgeon and exactly by the same surgical technique. The patients were randomized to receive either a partly polypropylene-polyglactin mesh (Vypro II, 100 hernias), a lightweight polypropylene mesh (Premilene LP, 100 hernias) or a conventional densely woven polypropylene mesh (Premilene, 100 hernias). Pain, patients discomfort and recurrences of hernias were carefully followed 5 years after surgery.
Interventions
DEVICEVypro II mesh
partly absorbable mesh
DEVICEPremilene LP
lightweight mesh
DEVICEPremilene mesh
A conventional polypropylene mesh (82 g/m2)
Sponsors
Mikkeli Central Hospital
Kuopio University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
* uni-or bilateral primary or recurrent inguinal hernia * patients age \>18yrs
Exclusion criteria
* previous mesh hernioplasty * femoral hernia * emergency operation * allergy to polypropylene
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Presence of chronic pain | 5 years | Pain scores were measured by using a visual analoque scale. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Presence of recurrences | 5 years | Recurrence of inguinal hernias after Lichtenstein hernioplasty was studies during clinical and ultrasound examination |
Countries
Finland
Outcome results
None listed