Is mesh pore size associated with the outcome in laparo-endoscopic inguinal hernia repair? - a registry-based multivariable analysis

被引：0

作者：

Koeckerling, F. ^{[1
]}

Wrede, J. ^{[3
]}

Adolf, D. ^{[4
]}

Jacob, D. ^{[2
]}

Riediger, H. ^{[1
]}

机构：

[1] Univ Med, Vivantes Humboldt Hosp, Acad Teaching Hosp Charite, Hernia Ctr, Nordgraben 2, D-13509 Berlin, Germany

[2] COPV Berlin, Kaiser Wilhelm Str 24-26, D-12247 Berlin, Germany

[3] Charite, Vivantes Hosp Spandau, Charite Med Sch, Acad Teaching Hosp, Neue Bergstr 6, D-13585 Berlin, Germany

[4] StatConsult GmbH, Fuchsberg 11, D-39112 Magdeburg, Germany

来源：

HERNIA | 2024年 / 29卷 / 01期

关键词：

TEP; TAPP; Mesh; Pore size; HEAVYWEIGHT POLYPROPYLENE MESH; LIGHTWEIGHT MESH;

D O I：

10.1007/s10029-024-03235-1

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Introduction In inguinal hernia repair, mesh weight and pore size are used to describe the mesh characteristics. One meta-analysis of laparo-endoscopic inguinal hernia repairs identified 12 prospective randomized controlled trials (RCTs) with 2,909 patients who had all been treated with lightweight (<= 50 g/m(2)) or heavyweight (> 70 g/m(2)) meshes. None of the 12 RCTs gave details of the pore size. There were more recurrences when using lightweight meshes, in particular in the case of medial defects without mesh fixation and/or large defects. In terms of pain, no significant differences were seen. This retrospective analysis of data from the Herniamed Registry now aims to analyze whether mesh pore size is related to the outcome in laparo-endoscopic inguinal repair. Materials and methods To analyze the association between mesh pore size and the outcome in laparo-endoscopic inguinal repair, it was necessary to select meshes with comparable properties. Polyester meshes and PTFE meshes had to be excluded and polypropylene and polyvinylidene fluoride meshes (PVDF) were included. 83,768 included patients were retrospectively analyzed. The meshes analyzed were eight small-pore and 13 large-pore meshes. Using a binary logistic regression model, it is possible to simultaneously analyze several factors being potentially associated with the outcome. Results Higher BMI, lower weight meshes, higher ASA score and medial EHS classification were associated with a higher risk of recurrence. It was not possible to find any significant association between pore size and recurrences at one-year follow-up. This also applied for pain on exertion and pain requiring treatment. Conclusion No association was identified between the pore size of the meshes used in laparo-endoscopic inguinal repair and the recurrence rate, pain on exertion rate or the rate of chronic pain requiring treatment at one-year follow-up.

引用

页数：11

共 22 条

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