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Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition) ›› 2021, Vol. 15 ›› Issue (04): 375-378. doi: 10.3877/cma.j.issn.1674-392X.2021.04.015

• Clinical Article • Previous Articles     Next Articles

Randomized controlled trial comparing self-gripping mesh (ProgripTM) and ULTRAPRO Hernia System (UHS) in tension-free repair of inguinal hernia

Xin Kang1,(), Xianfu Yang1, Xingjian Yang1, Tiansheng Yin1, Yajun Zhang1, Bin Li1, Maolin Xu1, Xiaoli Yang1, Ling Xu2   

  1. 1. Department of General Surgery, Shuangliu District First People's Hospital, Chengdu 610000, China
    2. Department of Science and Education, Shuangliu District First People's Hospital, Chengdu 610000, China
  • Received:2019-11-04 Online:2021-08-18 Published:2021-09-03
  • Contact: Xin Kang

Abstract:

Objective

To compare the differences between ProGripTM self-gripping mesh and Ultrapro hernia system (UHS) repair in the treatment of inguinal hernia.

Methods

From January 2015 to July 2017, 300 adult patients with inguinal hernia from Shuangliu district first people's hospital were enrolled. They were randomly divided into ProGripTM self-gripping mesh group and UHS repair group, with 150 cases in each group. The patients were followed up for 6 to 24 months. The clinical data, clinical effect and postoperative complications of the two groups were analyzed and compared.

Results

No statistical differences had been found in the comparison of pain score at 1 day, 1 week, or even 1 month after operation (P>0.05). However, the difference compared between the two groups was significant at 3 and 6 months after operation (P<0.05). Another statistical difference in the incidence of chronic pain was significant from the comparison between the ProGripTM self-gripping mesh group and the UHS repair group (P<0.05). The average operation time and hospital stay in the ProGripTM self-gripping mesh group were shorter than those in the UHS group (P<0.05). There was no significant difference in hospitalization expenses between the two groups (P>0.05). There was no foreign body sensation, incision infection, incision hematoma and edema occurred in the ProGripTM self-gripping mesh group; in the ProGripTM self-gripping mesh group, scrotal effusion occurred in 1 case, recurrence in 1 case, and chronic pain in 8 cases. In the UHS group, foreign body sensation occurred in 12 cases, incisional infection in 2 cases, incision hematoma and serum swelling in 3 cases, scrotal effusion in 7 cases, recurrence in 1 case, chronic pain in 27 cases.

Conclusion

The chronic pain and other complications can be reduced with the ProGripTM self-gripping mesh in the treatment of patients with inguinal hernia. It is worth the clinical promotion.

Key words: Hernia, inguinal, Herniorrhaphy, Chronic pain, Self-gripping (Progrip?) mesh

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