Weighing the benefits: Exploring the differential effects of light-weight and heavy-weight polypropylene meshes in inguinal hernia repair in a retrospective cohort study

IF 2.7 3区医学 Q1 SURGERY American journal of surgery Pub Date : 2024-09-07 DOI:10.1016/j.amjsurg.2024.115950

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Abstract

Background

Inguinal hernia repair is a common surgical procedure, with more than 20 million cases yearly. Choice between mesh types varies in clinical practice. To compare light-weight polypropylene (LW-PP, 34–36 g/m2) and heavy-weight polypropylene (HW-PP, 95 g/m2) meshes.

Methods

Data from patients who underwent open inguinal hernia repair between 2020 and 2022. Selection criteria ensured homogeneity. Endpoints were to assess the impact of different mesh weights on overall health-related quality of life (HRQoL), using Short Form 36 (SF-36), and to monitor postoperative complications.

Results

Two hundred patients were included in both groups. Lateral and direct hernias occurred in 60.5 % and 39.5 %. According to EHS, 31.5 %, 22.3 % and 46.2 % were classified as size 1, 2, 3. Follow-up showed similar HRQoL at 30-days, with a favorable trend towards LW-PP mesh offering fewer limitations, better comfort, and improved general health after 12-months. No difference in postoperative paresthesia, wound hematoma, and interference with daily activities.

Conclusion

1-year after surgery HRQoL evaluation highlights the non-inferiority of LW-PP. Mesh selection should be tailored, aiming at improving outcomes and postoperative comfort.

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权衡利弊：在一项回顾性队列研究中探讨轻型和重型聚丙烯网在腹股沟疝修补术中的不同效果

背景咽喉疝修补术是一种常见的外科手术，每年有 2000 多万病例。在临床实践中，对不同类型网片的选择各不相同。比较轻型聚丙烯网片（LW-PP，34-36 克/平方米）和重型聚丙烯网片（HW-PP，95 克/平方米）。选择标准确保同质性。终点是使用简表 36（SF-36）评估不同网片重量对总体健康相关生活质量（HRQoL）的影响，并监测术后并发症。发生侧疝和直疝的比例分别为 60.5% 和 39.5%。根据 EHS，31.5%、22.3% 和 46.2% 的疝气分为 1、2 和 3 级。随访结果显示，30 天后的 HRQoL 相似，12 个月后，LW-PP 网片有减少限制、提高舒适度和改善总体健康的良好趋势。结论术后1年的HRQoL评估显示，LW-PP网片无劣势。网片的选择应量体裁衣，以提高疗效和术后舒适度为目标。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.