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| ID | Type | Description | Link |
|---|---|---|---|
| Lichtenstein | Other Identifier | Etelä-Savon Eettinen tmk ETMK§11 |
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| Name | Class |
|---|---|
| Mikkeli Central Hospital | OTHER |
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Chronic pain may be a long-term problem after inguinal Lichtenstein hernioplasty. The aim of this study was to compare long-term results of hernioplasty using three different meshes (partly absorbable, lightweight polypropylene and thick polypropylene mesh).
Inguinal hernioplasty was performed under local anesthesia in 300 patients in day-case surgery by the same surgeon and exactly by the same surgical technique. The patients were randomized to receive either a partly polypropylene-polyglactin mesh (Vypro II, 100 hernias), a lightweight polypropylene mesh (Premilene LP, 100 hernias) or a conventional densely woven polypropylene mesh (Premilene, 100 hernias). Pain, patients discomfort and recurrences of hernias were carefully followed 5 years after surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Vypro II mesh | Active Comparator | A partly absorbable polypropylene-polyglactin mesh (50g/m2). |
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| Premilene LP | Active Comparator | A lightweight polypropylene mesh (55 g/m2) |
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| Premilene mesh | Placebo Comparator | A conventional polypropylene mesh (82 g/m2) |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Vypro II mesh | Device | partly absorbable mesh |
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| Measure | Description | Time Frame |
|---|---|---|
| Presence of chronic pain | Pain scores were measured by using a visual analoque scale. | 5 years |
| Measure | Description | Time Frame |
|---|---|---|
| Presence of recurrences | Recurrence of inguinal hernias after Lichtenstein hernioplasty was studies during clinical and ultrasound examination | 5 years |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Hannu EK Paajanen, MD, PhD | University Hospital of Kuopio, Finland | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hannu Paajanen | Kuopio | 70600 | Finland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 17492341 | Background | Paajanen H. A single-surgeon randomized trial comparing three composite meshes on chronic pain after Lichtenstein hernia repair in local anesthesia. Hernia. 2007 Aug;11(4):335-9. doi: 10.1007/s10029-007-0236-1. Epub 2007 May 10. | |
| 23246868 | Derived | Paajanen H, Ronka K, Laurema A. A single-surgeon randomized trial comparing three meshes in lichtenstein hernia repair: 2- and 5-year outcome of recurrences and chronic pain. Int J Surg. 2013;11(1):81-4. doi: 10.1016/j.ijsu.2012.11.020. Epub 2012 Dec 13. |
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| ID | Term |
|---|---|
| D059350 | Chronic Pain |
| D012008 | Recurrence |
| D006552 | Hernia, Inguinal |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Premilene LP | Device | lightweight mesh |
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| Premilene mesh | Device | A conventional polypropylene mesh (82 g/m2) |
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| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D046449 | Hernia, Abdominal |
| D006547 | Hernia |
| D020763 | Pathological Conditions, Anatomical |