Short-term outcomes of inguinal hernia Liechtenstein repair by using self-fixing progrip mesh in comparison with sutured prolene mesh: a clinical trial study

Due to the high prevalence of inguinal hernia surgery and its impact on quality of life and workforce, it is necessary to find a method with the least complication and recurrence. Since the use of the progrip mesh clearly reduces the operating time and surgical site manipulation, it seems to be a good treatment option.

This clinical trial study was performed on 80 patients with inguinal hernia repair candidates admitted to Beheshti and Rohani Hospitals in Babol, Iran. The patients were randomly divided into two groups. In the first group, the repair was done with progrip mesh, and in the second group, the prolene was restored. 4,8 and 12 hours after the operation, a checklist pain score based on VAS and EQ-5D-3L questionnaire was completed before surgery, 6 to 12 hours after surgery, and 24 hours after surgery for each patient. Data was analyzed using Chi-square, T-test, and the Mann-Whitney test. A significance level of (0.05) was considered.

The mean duration of operation in the progrip group was(31.15 ± 9.35)minutes and in the prolene group was(9.53 ±14.46) minutes, which was significantly shorter in the progrip group(p=0.048). Complications of surgery were not reported in any of the patients. The mean of pain intensity 4 hours after surgery in the progrip group was(5.04 ±1.05) and in the prolene group was(5.50 ±1.24), which was significantly lower in the progrip mesh group(p=0.048). The mean pain intensity was 8 hours(5.25 ±0.81versus 5.83±1.37)and was significantly lower in the progrip group(p=0.024). Also within 12 hours after was (3.38±1.23 versus 4.20±1.34) significantly lower in the progrip group(p=0.005).

Based on the results of this study, the use of progrip mesh is associated with shortening the duration of the surgery and also reducing pain in postoperative patients.