Stavert Bethany, Chan Daniel L, Ozmen John, Loi Ken
Department of Surgery, St George Private Hospital, Sydney, New South Wales, Australia.
Department of Surgery, Faculty of Medicine, Western Sydney University, Sydney, New South Wales, Australia.
ANZ J Surg. 2019 Oct;89(10):1261-1264. doi: 10.1111/ans.15378. Epub 2019 Aug 26.
Laparoscopic groin hernia repair is an increasingly common procedure with benefits of reduced post-operative pain and infection. Post-operative chronic pain remains an ongoing concern in about 10% of patients. Parietex ProGrip™, a polyester self-gripping mesh, has a theoretical benefit of avoiding tacks for mesh-fixation. This case series reflects our long-term experience of this technique.
We conducted a retrospective case series from November 2011 to December 2017. Patients were identified through an operative Medicare Benefits Schedule item number search. Clinical documentation was reviewed with length of stay, mesh infection, chronic pain, recurrence and re-operation as primary data points.
A total of 514 patients underwent 780 laparoscopic inguinal hernia repairs with self-gripping polyester mesh during this period. There were 53 female (10.3%) and 461 male patients (89.7%). Unilateral hernia repair was performed in 248 patients (48.2%) and bilateral repair in 266 patients (51.8%). Almost all repairs (779, 99.8%) were primary hernias. There were no mesh infections. Four recurrences were noted (0.51%) and three of these subsequently underwent open redo-hernia repairs (0.38%). Post-operative follow-up was up to 4.4 years.
Our series of laparoscopic groin hernia repair with self-gripping mesh demonstrate this is a safe and reliable mesh and effective technique with low recurrence rates.
腹腔镜腹股沟疝修补术是一种越来越常见的手术，具有减轻术后疼痛和感染的优点。术后慢性疼痛仍是约10%患者持续关注的问题。Parietex ProGrip™，一种聚酯自固定补片，在理论上具有避免使用钉子固定补片的优势。本病例系列反映了我们对该技术的长期经验。
我们对2011年11月至2017年12月进行了一项回顾性病例系列研究。通过手术医疗保险福利计划项目编号搜索确定患者。审查临床记录，将住院时间、补片感染、慢性疼痛、复发和再次手术作为主要数据点。
在此期间，共有514例患者接受了780例使用自固定聚酯补片的腹腔镜腹股沟疝修补术。其中女性53例（10.3%），男性461例（89.7%）。248例患者（48.2%）进行了单侧疝修补，266例患者（51.8%）进行了双侧修补。几乎所有修补术（779例，99.8%）均为原发性疝。无补片感染。发现4例复发（0.51%），其中3例随后接受了开放的再次疝修补术（0.38%）。术后随访长达4.4年。
我们使用自固定补片进行腹腔镜腹股沟疝修补术的系列研究表明，这是一种安全可靠的补片和有效的技术，复发率低。
