Department Of Surgery, Zuyderland Medical Center, Sittard-Geleen and Heerlen, Dr. H. Van der Hoffplein 1, 6162 BG, Sittard-Geleen, The Netherlands.
Hernia. 2023 Oct;27(5):1203-1208. doi: 10.1007/s10029-023-02855-3. Epub 2023 Aug 7.
The Dextile Anatomical mesh (Medtronic) is a polypropylene heavyweight mesh and has a 3D patented anatomical shape which adapts to the contours of the extra-peritoneal inguinal region without the need for fixation, potentially reducing the risk of hernia recurrence and chronic post-operative pain. This retrospective study will be the first study to assess the outcomes of the Dextile Anatomical mesh compared to another three-dimensional mesh, the 3DMax mesh (Bard).
Between 2019 and 2022, all patients who underwent an elective unilateral inguinal hernia repair were assessed. 416 patients in the Dextile Anatomical mesh group and 540 patients in the 3DMax mesh group were included. Outcomes were intra- and post-operative complications, inguinal hernia recurrence and chronic post-operative inguinal pain.
No significant differences were found between the two groups regarding intra- and post-operative complications including wound infection, antibiotic use, hematoma, seroma, urinary retention and delayed wound healing. 1-year recurrence rate was comparable for the Dextile Anatomical mesh group and the 3DMax mesh group, respectively, 3.8% and 3.0%, P = 0.45. Chronic post-operative inguinal pain was similar for the Dextile Anatomical mesh (3.4%) and the 3DMax mesh (3.0%), P = 0.72.
This retrospective study comparing the relatively new Dextile Anatomical mesh (Medtronic) with the 3D Max mesh (Bard) in unilateral inguinal hernia repair showed that both meshes are safe and effective to use. There were no significant differences in intra-operative outcomes, recurrence rates and chronic post-operative inguinal pain.
Dextile 解剖网片（美敦力）是一种聚丙烯重质网片，具有 3D 专利解剖形状，可适应腹膜外腹股沟区域的轮廓，无需固定，从而降低疝复发和慢性术后疼痛的风险。这项回顾性研究将首次评估 Dextile 解剖网片与另一种三维网片 3DMax 网片（巴德）的结果。
在 2019 年至 2022 年期间，评估了所有接受单侧腹股沟疝修补术的择期手术患者。Dextile 解剖网片组 416 例，3DMax 网片组 540 例。结果为术中及术后并发症、腹股沟疝复发和慢性术后腹股沟疼痛。
两组患者在术中及术后并发症（包括伤口感染、抗生素使用、血肿、血清肿、尿潴留和延迟伤口愈合）方面无显著差异。Dextile 解剖网片组和 3DMax 网片组 1 年复发率分别为 3.8%和 3.0%，P=0.45。慢性术后腹股沟疼痛在 Dextile 解剖网片（3.4%）和 3DMax 网片（3.0%）之间相似，P=0.72。
本回顾性研究比较了相对较新的 Dextile 解剖网片（美敦力）与 3D Max 网片（巴德）在单侧腹股沟疝修补术中的应用，结果表明两种网片均安全有效。术中结果、复发率和慢性术后腹股沟疼痛无显著差异。
