Study to compare self-gripping mesh (Pro Grip) versus sutured mesh in open inguinal hernia repair: A prospective study
Bhavana Verma, Anurag Anand, KB Singh
Introduction: With the introduction of Lichtenstein mesh repair, common postoperative problem was chronic pain which is mainly due to the fixation techniques for which, many modifications had been done to deal it. Subsequent to this, a new self-gripping mesh that provided a Velcro like adherence to underlying tissues was developed. Several randomised controlled trials are published in the recent past comparing self-gripping mesh with sutured repair to assess perioperative and long term outcomes.Material and Method: This prospective study “Comparative study of self-gripping mesh (ProGrip) versus sutured mesh in open inguinal hernia repair” was conducted in Department of Surgery, Sarojini Naidu Medical College & Hospital, Agra from Jan. 2018 to Jan. 2021 in 240 patients, who were randomized in two groups of 120 patients each in study group and control group respectively. Discussion: There is statistically significant result indicating that self-gripping mesh reduces the operating time, less Post-Operative pain (early as well as chronic phase ), early discharge from hospital, early return to normal activity. There is no statistically difference in recurrence, infection, any intra operative injury, and any anaesthetic complication.Conclusion: Mesh repair is the ideal way to handle the inguinal hernias, but chronic pain is most troublesome complication related with mesh repair. We found self-gripping mesh superior to suture mesh and recommend it use.
Bhavana Verma, Anurag Anand, KB Singh. Study to compare self-gripping mesh (Pro Grip) versus sutured mesh in open inguinal hernia repair: A prospective study. International Journal of Surgery and Surgical Research, Volume 3, Issue 1, 2021, Pages 01-04