AIM: EVALUATION OF RESULT OF POLYPROPYLENE VERSUS POLYESTER MESH FOR LAPAROSCOPIC INGUINAL HERNIA REPAIR [ A RANDOMIZED CONTROL STUDY]

Dr. Surendra Pathak, Dr. Rohit Kumar, Dr. Anurag Anand

Abstract


Now a days we have three big groups of material concerning non- resorbable meshes: polypropylene, polyester and poly-tetrafluoroethylene. Still in literature there is no consensus which material has the best biocompatibility in humans. Our aim is to compare the  result of laparoscopic inguinal hernia repair of polypropylene versus polyester Our study concludes that both polypropylene and polyester mesh in laparoscopic repair of inguinal hernia have comparable short term and long-term outcomes in terms of operative time, intraoperative complications, post-operative pain, time to resume normal activity, and recurrence. Although we observed short period of hospital stay in polyester mess than in polypropylene but more large-scale studies are needed to confirm this fact.  that the laparoscopic approach is a viable option for inguinal hernia repair, especially when the surgeon is experienced, the need for improved meshes is strong. The ease of using polyester as the material for mesh for laparoscopic repair may help to shorten the learning curve by making the placement easier and to reduce foreign body reaction, development of wound seroma formation and chronic pain. Both the approaches are acceptable modalities for hernia repair and the results are comparable in terms of patient outcome. The choice of mesh is surgeon specific and dependent on his/her expertise and learning curve.


Keywords


protrusion,Approximately,postoperative complications,

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References


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