PhilippePajotin, is structured according to the inguinal anatomy. Similarly, in laparoscopic inguinal hernioplasty Bard 3D mesh are in use. 7 To overcome these disadvantages currently various self-fixation meshes are in use and of late Progripmeshes are being incorporated in open hernia surgeries. 5, 6 A comparative study of laparoscopic inguinal hernia repair, results showed that fixation of a mesh with tacker is comparable to non–fixation in terms of chronic groin pain (p=0.67). 3, 4 Various studied showed that inguinal hernia repair with mesh cause less chronic pain compared to nonmesh inguinal herniorraphy. Chronic pain is less after laparoscopic inguinal hernia repair than open repair. The cause for groin pain after inguinal hernia repair are perioperative nerve damage, mesh related fibrosis and shrinkage, mesh fixation with sutures or tackers. 3Ĭhronic postherniorraphy groin pain (inguinodynia) is defined as pain that persist more than 3months after surgery. 4 Although, complications after laparoscopic inguinal hernia repair decreased but recurrence of hernia, postoperative groin pain, seroma, and other mesh related complications such as mesh shrinkage and migration remains a concern. When we compare the results of open mesh repair and laparoscopic inguinal hernia repair the incidence of complications decreased in laparoscopic inguinal repair. The true measure of success for any type of hernia repair is based on its outcome. Since then laparoscopic hernia repair has undergone revolutionary advances in technique of repair, types of meshes used and various methods of fixation of mesh. 2 Laparoscopic hernia repair was first reported by Ger. Over the past two decades laparoscopic inguinal hernia repair has gaining significant popularity and widespread use. In 1970’s, prosthetic repair of the inguinal floor was started and later Nyhus, Stoppa and Wantz did inguinal hernioplasty by applying a prosthesis to the posterior wall of groin. In the 1800’s surgeons such as Bassini, Halsted and Macvay studied the anatomy of hernias and approached inguinal floor dissection with primary tissue repair. 1 Inguinal hernioplasty has undergone a gradual evolution over the past 100years. Inguinal hernia repair is the most common surgical procedure performed worldwide, with approximately 20million inguinal hernia performed annually. No patient reported swelling and recurrence on 3month follow-up. In our study at the end of 3months mean VAS score (n=48) was. All the patients were discharged on 1stpostoperative day and 46patients (95.8%) were returned to normal activity without pain in 1 month. On comparing the grades of VAS score on follow- up of three month, 47patients ( 97.9%) were reported no pain and one patient (2.1%) was reported having mild pain (p=0.011) ( Figure 1). Result: A total of 48patients were included in the study, and all repaired with 3D mesh. All 48patients were analyzed with Visual Analog Scale (VAS) at 7th postoperative day, 1stmonth and 3rd month. Method: Our study is a prospective observational study including 48patients of inguinal hernia from Sep 2013-Sep 2015 with laparoscopic transabdominal preperitoneal mesh hernioplasty using anatomically contoured mesh, proprietary name BARD 3D Max LIGHT Mesh was done in 111 hernias. Laparoscopic transabdominal preperitoneal meshhernioplasty using self-fixating and anatomically contoured mesh is a new and innovative technique.Īim: The aim of our study is to identify the incidence of pain, recurrence and morbidity after repair of inguinal hernia with anatomically contoured 3D mesh. Chronic pain may be incapacitating and can affect the quality of life.
Post- surgical pain and recurrence can occur due to the mesh inflammation, shrinkage and various method of fixation of mesh. Background: Inguinal hernia repair is currently performed by a large variety of surgical prosthesis.
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