Department of Surgery, New Hanover Regional Medical Center, 2131 South 17th Street, Wilmington, NC, 28402, USA.
Surg Endosc. 2021 Mar;35(3):1342-1347. doi: 10.1007/s00464-020-07512-9. Epub 2020 Mar 30.
Many meshes are available for use in laparoscopic inguinal hernia repair. The surgeon must consider several factors when choosing a mesh for hernia repair including clinical outcomes, cost, and ease of use. The purpose of this study was to compare two different lightweight polypropylene meshes for laparoscopic and robotic inguinal hernia repairs.
Subjects were randomized immediately before surgery. Data were reported in N (%) and median [Q1-Q3], comparisons of mesh insertion time were tested using a 2 × 2 ANOVA on the ranked times, comparisons between categorical variables were tested with Fisher's Exact, and all data were analyzed using SAS® 9.4 (SAS Institute, Inc.).
Between January 2015 and June 2016, 50 subjects were enrolled; two were excluded. Of 48 eligible subjects, most were Caucasian (N = 42, 88%), male (N = 37, 77%), with a median age of 63, and were randomized evenly between 3DMax™ mesh and Ultrapro® mesh. Robotic mesh placement significantly increased insertion time regardless of mesh type (p < .0001). When comparing NASA-TLX self-assessment surveys, there was no significant difference between the meshes in difficulty of placement. The type of mesh did not significantly impact the insertion time regardless of robot use (p = 0.523).
Our data demonstrate that mesh insertion times comparing two different lightweight polypropylene meshes were not significantly different. Increased insertion times associated with robotic repair are likely due to the mechanics of robotic suturing and associated learning curve. Our data suggest that these meshes can be used interchangeably based on the surgeon's preference.
NCT01825187.
腹腔镜腹股沟疝修补术中可使用多种网片。外科医生在选择疝修补网片时需要考虑几个因素，包括临床结果、成本和使用方便性。本研究的目的是比较两种不同的轻质聚丙烯网片在腹腔镜和机器人腹股沟疝修补术中的应用。
受试者在手术前立即随机分组。数据以 N（%）和中位数[Q1-Q3]报告，使用排序时间的 2×2 ANOVA 检验网片插入时间的比较，使用 Fisher 精确检验比较分类变量之间的差异，所有数据均使用 SAS®9.4（SAS Institute，Inc.）进行分析。
2015 年 1 月至 2016 年 6 月期间，共纳入 50 例受试者，其中 2 例被排除。在 48 例符合条件的受试者中，大多数为白种人（N=42，88%），男性（N=37，77%），中位年龄为 63 岁，随机分为 3DMax™网片和 Ultrapro®网片两组。无论网片类型如何，机器人放置网片均显著增加插入时间（p<0.0001）。比较 NASA-TLX 自我评估调查结果，两种网片在放置难度方面无显著差异。无论是否使用机器人，网片类型均不显著影响插入时间（p=0.523）。
我们的数据表明，比较两种不同轻质聚丙烯网片的插入时间无显著差异。与机器人修复相关的插入时间增加可能是由于机器人缝合的力学特性和相关的学习曲线所致。我们的数据表明，这些网片可以根据外科医生的偏好互换使用。
NCT01825187。
