Saudi Journal of Gastroenterology
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Year : 2010  |  Volume : 16  |  Issue : 1  |  Page : 8-13

Polyglactine/Polypropylene Mesh vs. Propylene Mesh: Is there a need for newer prosthesis in inguinal hernia?

Department of Surgery, Postgraduate Medical Institute, Lady Reading Hospital, Peshawar, Pakistan

Correspondence Address:
Adil Bangash
Surgical B Unit, Department of Surgery, Lady Reading Hospital, Peshawar
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1319-3767.58761

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Background/Aim: To compare outcomes of light and heavy weight mesh for repair of inguinal hernia. Materials and Methods: This study was conducted at the Department of Surgery; Lady Reading Hospital, Peshawar from January 1, 2007 to December 31, 2008. Patients were divided into two groups based on the type of mesh implanted for inguinal hernia repair. Group 1 included patients in whom light weight composite (VyproII; ) mesh is implanted: Group 2 included patients in whom polypropylene (Prolene R ) mesh is implanted. Data concerning the complications and post operative pain in the perioperative and postoperative period were collected and analyzed. Categorical data were presented as percentages with 95% confidence intervals and compared using a χ2 test and P < 0.05 were considered significant. Results: Following allocation and exclusion of violating cases, 111 patients in group 1 and 138 patients in group 2 were analyzed. The mean age in group 1 was 38.20 ± 13.34 years and in group 2 was 39.55 ± 13.70 (P = 0.434). In group 1, hematoma formation was observed in four cases (3.6%), while it was observed in six cases (4.2%) in group 2 (P = 0.766). During the entire study, ten patients in all developed urinary retention, three of which required transient catheterization. One year post operation, there was a recurrence in only five cases overall, while only two patients complained of pain (P = 0.826). Conclusion: The frequency of postoperative pain and complications in patients was similar in both groups.

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