Yang Hsien Wen, Kang Sang Hee, Jung Sung Yeop, Min Byung Wook, Lee Sun Il
Department of Surgery, Korea University Guro Hospital, Seoul, Korea.
Ann Surg Treat Res. 2017 Dec;93(6):316-321. doi: 10.4174/astr.2017.93.6.316. Epub 2017 Dec 1.
Partially absorbable mesh has been introduced and used for inguinal hernia repair for the purpose of minimizing pain and improving abdominal wall compliance. In this study, we evaluate the efficacy and safety of ProFlex mesh, a partially absorbed mesh with new structural architecture.
We retrospectively reviewed 64 cases of totally extraperitoneal herniorrhapy (TEP) from January 2013 to December 2014 for their clinical features, including operation time, pain, postoperative complications, and recurrence.
There were no significant differences in operation time, hospital stay, postoperative pain, or complications between the 28 patients who received the ProFlex mesh and the 36 who received nonabsorbable lightweight mesh, although one patient who received the nonabsorbable had a recurrence during follow-up. There were differences in operation time, complications, and hospital stay according to the surgeon's previous operation volume.
This study showed that there were significant differences in the fixation strength of different polypropylene meshes in combination with various fibrin glues. ProFlex, a partially absorbable mesh with new architecture, was feasible and safe in TEP.
为了将疼痛降至最低并提高腹壁顺应性，部分可吸收补片已被引入并用于腹股沟疝修补术。在本研究中，我们评估了ProFlex补片（一种具有新结构设计的部分可吸收补片）的疗效和安全性。
我们回顾性分析了2013年1月至2014年12月期间64例完全腹膜外疝修补术（TEP）患者的临床特征，包括手术时间、疼痛、术后并发症及复发情况。
接受ProFlex补片的28例患者与接受不可吸收轻质补片的36例患者在手术时间、住院时间、术后疼痛或并发症方面无显著差异，尽管1例接受不可吸收补片的患者在随访期间出现复发。根据外科医生既往手术量的不同，手术时间、并发症及住院时间存在差异。
本研究表明，不同聚丙烯补片与各种纤维蛋白胶联合使用时，固定强度存在显著差异。ProFlex补片是一种具有新结构的部分可吸收补片，在TEP手术中可行且安全。
