Context: A hernia is the bulging of part of the contents of the abdominal cavity through a weakness in the abdominal wall. Synthetic mesh
implants are one of the commonly used materials in many surgical interventions, especially during hernia repair. Mesh repair is now standard procedure which is widely accepted and superior to primary suture repair. Nowadays we use mainly three groups of material regarding to nonabsorbable meshes: polypropylene, polyester and
polytetrafluroethylene. They are non-absorbable mesh and provoke less tissue reaction. Aims: To compare use of light weight 3d polyester
mesh vs. light weight polypropylene mesh in laparoscopic e-tep inguinal hernia repair. Settings and Design: Prospective study Methods and Material: This study was conducted on patient of inguinal hernia admitted from May 2018 to September 2019 in Sir T. Hospital Bhavnagar. This study involving 60 patients with inguinal hernia, who were classified into two groups. Group I: 30 patients with inguinal hernia who were operated by e-TEP hernia repair using light weight
polypropylene mesh. Group II: 30 patients with inguinal hernia who were operated by e-TEP hernia repair using light weight 3D-polyester mesh. All patients provided informed consent to participate in the trial and for the surgical procedure. Both groups are compared with certain parameter and result obtained. Results: In our study, Group II has lesser mesh fixation time, less incidence of post-op pain and discomfort, less use of additional analgesic with less incidence of seroma as compared to Group I. Conclusions: The use of 3D-polyester mesh for laparoscopic e-TEP inguinal hernia repair offers many advantages as compared to lightweight polypropylene mesh.
Keywords: e-TEP hernia repair, light weight polypropylene mesh, light weight 3D-polyester mesh