The use of polypropylene mesh in inguinal hernia surgery: A retrospective study

Tanasescu,Ciprian; Moisin,Andrei; Mihetiu,Alin; Serban,Dragos; Costache,Adrian; Bratu,Dan Georgian

doi:10.3892/etm.2021.10627

The use of polypropylene mesh in inguinal hernia surgery: A retrospective study

Authors:
- Ciprian Tanasescu
- Andrei Moisin
- Alin Mihetiu
- Dragos Serban
- Adrian Costache
- Dan Georgian Bratu
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Affiliations: Department of Surgery, Sibiu County Clinical Emergency Hospital, 550245 Sibiu, Romania, The 4th Surgery Department, Emergency University Hospital, 050098 Bucharest, Romania, Department of Pathology, ‘Carol Davila’ University of Medicine and Pharmacy, 020021 Bucharest, Romania
Published online on: August 17, 2021 https://doi.org/10.3892/etm.2021.10627
Article Number: 1193
Copyright: © Tanasescu et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Previously, inguinal hernia surgery was based exclusively on repairing the abdominal wall defects using the patient's own tissues, which were put in contact with and tensioned to recalibrate the natural orifices. At present, inguinal hernia surgery is based almost solely on mounting an allograft, which has the role of strengthening the weakened groin region that allowed the herniation. This modern method of operation on inguinal hernia can be performed in a classic or laparoscopic manner. The mesh is made of polypropylene, which is a polymer of cyclic hydrocarbons. The aim of the present study was to evaluate the effectiveness, biocompatibility, as well as the immediate and long‑term complications in textile allografts used in open surgery of inguinal hernia repair. Another aim was to demonstrate once again the superiority of low‑weight meshes with large pores by decreasing the number of complications caused by the synthetic material used, but also by a decrease in the tension on the tissues to which it was fixed. The present study included 255 cases submitted to inguinal hernia surgery. Only 1.5% required immediate reintervention before discharge to evacuate hematoma. The short duration of hospitalization, the quality‑price ratio, the good postoperative results, as well as the rapid socio‑professional reintegration, render the use of polypropylene mesh in inguinal hernia surgery very attractive for patients.

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