Yıl: 2020 Cilt: 36 Sayı: 1 Sayfa Aralığı: 48 - 52 Metin Dili: İngilizce DOI: 10.5578/turkjsurg.4451 İndeks Tarihi: 09-11-2020

Comparison of prolene and progrip meshes in inguinal hernia repair in terms of post-operative pain, limitation of movement and quality of life

Öz:
Objective: The study aimed to compare the techniques applying prolene mesh and progrip-self fixating mesh in terms of post-operative pain, limitation of movement and quality of life.Material and Methods: The study was conducted from November 2014 to January 2016 in Department of Surgery, Manisa Celal Bayar University Hospital. The study recruited 50 male patients, aged 18 and over and was carried out as a double blinded procedure. Twenty-five patients were randomlyselected to receive hernia repair by progrip self-fixating mesh and 25 patients were treated with hernia repair with suture fixation method by usingprolene grafts, and patients’ pain follow-up was performed with face-to-face or telephone interviews with VAS (Visual Analogue Scale) and return todaily routine activities were evaluated with SF-36 (Short Form-36) quality of life scale. Recurrent hernias and emergency cases were excluded.Results: The pain scores were lower and a statistically significant difference was achieved in patients in whom progrip self-fixating mesh was used in theearly postoperative period. Both methods gave statistically similar results in terms of pain and quality of life.Conclusion: In the literature, there are some evidence that the repair applied with progrip self-fixating graft has more positive outcomes compared tothe repairs applied with suture fixation. It is concluded that there is a need for longer follow-ups and larger series of cases in order to achieve a definiteresult.
Anahtar Kelime:

İnguinal herni onarımında prolen ve progrip yamalarının postoperatif ağrı, hareket kısıtlılığı ve yaşam kalitesi açısından karşılaştırılması

Öz:
Giriş ve Amaç: Bu çalışmada amaç, ameliyat sonrası ağrı, hareket kısıtlaması ve yaşam kalitesi açısından prolen mesh ve progrip-self fiksasyon mesh uygulama tekniklerini karşılaştırmaktır. Gereç ve Yöntem: Çalışma Kasım 2014-Ocak 2016 tarihleri arasında Manisa Celal Bayar Üniversitesi Hastanesinde yapıldı. Çalışmaya 18 yaşından büyük 50 erkek hasta alındı ve çalışma çift-kör prosedürle gerçekleştirildi. Yirmi beş hasta progrip yama yöntemiyle, 25 hasta ise prolen greftleri kullanılarak dikiş fiksasyon yöntemiyle tedavi edildi ve hastaların ağrı takibi yüz yüze ya da telefon görüşmeleriyle yapıldı. VAS (Görsel Analog Skala) ve günlük rutin aktivitelere dönüş, SF-36 (Kısa Form-36) yaşam kalitesi ölçeği ile değerlendirildi. Tekrarlayan fıtıklar ve acil durumlar çalışma kapsamına alınmadı. Veriler, SPSS paket programı kullanılarak analiz edildi. Bulgular: Yapılan değerlendirmeler sonucunda, ameliyat sonrası erken dönemde progrip kendinden fikse mesh kullanan hastalarda ağrı skorlarının daha düşük ve istatistiksel olarak anlamlı olduğu bulunmuştur. Uzun dönemde her iki yöntem de ağrı ve yaşam kalitesi açısından istatistiksel olarak benzer sonuçlar vermiştir. Sonuç: Bu konuyla ilgili literatür göz önüne alındığında, progrip kendinden fiksasyon grefti ile yapılan onarımın, dikiş fiksasyonu ile yapılan onarımlara kıyasla daha olumlu sonuçlara sahip olduğuna dair bazı kanıtlar vardır, ancak bazı çelişkili sonuçlar da vardır. Kesin bir sonuç elde etmek için daha uzun takiplere ve daha geniş olgu serilerine ihtiyaç olduğu sonucuna varılmıştır.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Schwartz. Principles of Surgery. 10th ed. McGraw Hill Co, 2014;Chapter 37:1495-516. [CrossRef]
  • 2. Banks SB, Cotlar AM. Classic groin hernia repair. Curr Surg 2005;62(2):249-52. [CrossRef]
  • 3. Yilmaz A, Yener O, Kaynak B, Yigitbasi R, Demir M, Burcu B, et al. Self– gripping Covidien ProGrip mesh versus polypropylene mesh in open inguinal hernia repair: multicenter short term results. Prague Med Rep 2013;114(4):231-8. [CrossRef]
  • 4. Kapischke M, Schulze H, Caliebe A. Self-fixating mesh for the Lichtenstein procedure-aprestudy. Langenbecks Arc Surg 2010;395:317- 22. [CrossRef]
  • 5. Chastan P. Tension-free open hernia repair using an innovative selfgripping semi-resorbable mesh. Hernia 2009;13:137-42. [CrossRef]
  • 6. Öziş SE, Ünal Çevik I, Uslu HY, Özdemir S, Gülpinar K, Aydin HT. The long-term changes in pain-related symptomatology of inguinal hernia following 2 different herniorrhaphy techniques. Turk J Med Sci 2015;45(1):202-7. [CrossRef]
  • 7. Batabyal P, Haddad RL, Samra JS, Wickins S, Sweeney E, Hugh TJ. Inguinal hernia repair with Parietex ProGrip mesh causes minimal discomfort and allows early return to normal activities. Am J Surg 2016;211(1):24-30. [CrossRef]
  • 8. Wang Y, Zhang X. Short-term results of open inguinal hernia repair with self-gripping Parietex ProGrip mesh in China: a retrospective study of 90 cases. Asian J Surg 2016;39(4):218-24. [CrossRef]
  • 9. Pandanaboyana S, Mittapalli D, Rao A, Prasad R, Ahmad N. Metaanalysis of self-gripping mesh (Progrip) versus sutured mesh in open inguinal hernia repair. Surgeon 2014;12(2):87-93. [CrossRef]
  • 10. Fang Z, Zhou J, Ren F, Liu D. Self-gripping mesh versus sutured mesh in open inguinal hernia repair: system review and meta-analysis. Am J Surg 2014;207(5):773-81. [CrossRef]
APA KAYA A, Tutcu Şahin S, Kaya Y, Coskun T, SAKARYA A (2020). Comparison of prolene and progrip meshes in inguinal hernia repair in terms of post-operative pain, limitation of movement and quality of life. , 48 - 52. 10.5578/turkjsurg.4451
Chicago KAYA Ahmet,Tutcu Şahin Semra,Kaya Yavuz,Coskun Teoman,SAKARYA ASLAN Comparison of prolene and progrip meshes in inguinal hernia repair in terms of post-operative pain, limitation of movement and quality of life. (2020): 48 - 52. 10.5578/turkjsurg.4451
MLA KAYA Ahmet,Tutcu Şahin Semra,Kaya Yavuz,Coskun Teoman,SAKARYA ASLAN Comparison of prolene and progrip meshes in inguinal hernia repair in terms of post-operative pain, limitation of movement and quality of life. , 2020, ss.48 - 52. 10.5578/turkjsurg.4451
AMA KAYA A,Tutcu Şahin S,Kaya Y,Coskun T,SAKARYA A Comparison of prolene and progrip meshes in inguinal hernia repair in terms of post-operative pain, limitation of movement and quality of life. . 2020; 48 - 52. 10.5578/turkjsurg.4451
Vancouver KAYA A,Tutcu Şahin S,Kaya Y,Coskun T,SAKARYA A Comparison of prolene and progrip meshes in inguinal hernia repair in terms of post-operative pain, limitation of movement and quality of life. . 2020; 48 - 52. 10.5578/turkjsurg.4451
IEEE KAYA A,Tutcu Şahin S,Kaya Y,Coskun T,SAKARYA A "Comparison of prolene and progrip meshes in inguinal hernia repair in terms of post-operative pain, limitation of movement and quality of life." , ss.48 - 52, 2020. 10.5578/turkjsurg.4451
ISNAD KAYA, Ahmet vd. "Comparison of prolene and progrip meshes in inguinal hernia repair in terms of post-operative pain, limitation of movement and quality of life". (2020), 48-52. https://doi.org/10.5578/turkjsurg.4451
APA KAYA A, Tutcu Şahin S, Kaya Y, Coskun T, SAKARYA A (2020). Comparison of prolene and progrip meshes in inguinal hernia repair in terms of post-operative pain, limitation of movement and quality of life. Turkish Journal of Surgery, 36(1), 48 - 52. 10.5578/turkjsurg.4451
Chicago KAYA Ahmet,Tutcu Şahin Semra,Kaya Yavuz,Coskun Teoman,SAKARYA ASLAN Comparison of prolene and progrip meshes in inguinal hernia repair in terms of post-operative pain, limitation of movement and quality of life. Turkish Journal of Surgery 36, no.1 (2020): 48 - 52. 10.5578/turkjsurg.4451
MLA KAYA Ahmet,Tutcu Şahin Semra,Kaya Yavuz,Coskun Teoman,SAKARYA ASLAN Comparison of prolene and progrip meshes in inguinal hernia repair in terms of post-operative pain, limitation of movement and quality of life. Turkish Journal of Surgery, vol.36, no.1, 2020, ss.48 - 52. 10.5578/turkjsurg.4451
AMA KAYA A,Tutcu Şahin S,Kaya Y,Coskun T,SAKARYA A Comparison of prolene and progrip meshes in inguinal hernia repair in terms of post-operative pain, limitation of movement and quality of life. Turkish Journal of Surgery. 2020; 36(1): 48 - 52. 10.5578/turkjsurg.4451
Vancouver KAYA A,Tutcu Şahin S,Kaya Y,Coskun T,SAKARYA A Comparison of prolene and progrip meshes in inguinal hernia repair in terms of post-operative pain, limitation of movement and quality of life. Turkish Journal of Surgery. 2020; 36(1): 48 - 52. 10.5578/turkjsurg.4451
IEEE KAYA A,Tutcu Şahin S,Kaya Y,Coskun T,SAKARYA A "Comparison of prolene and progrip meshes in inguinal hernia repair in terms of post-operative pain, limitation of movement and quality of life." Turkish Journal of Surgery, 36, ss.48 - 52, 2020. 10.5578/turkjsurg.4451
ISNAD KAYA, Ahmet vd. "Comparison of prolene and progrip meshes in inguinal hernia repair in terms of post-operative pain, limitation of movement and quality of life". Turkish Journal of Surgery 36/1 (2020), 48-52. https://doi.org/10.5578/turkjsurg.4451