Chronic groin pain after Lichtenstein inguinal hernia repair: partially absorbable light-weight mesh versus conventional light-weight versus heavy-weight mesh.

IF 2.4 2区医学 Q1 SURGERY

Hernia Pub Date : 2025-09-17 DOI:10.1007/s10029-025-03469-7

Sarah Budney, Kyle Kleppe, Matthew Mancini, Greg Mancini, Melissa Phillips, Catherine McKnight, John Griepentrog, Michael Reinhorn, Aldo Fafaj, Kaela E Blake

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引用次数: 0

Abstract

Introduction: Mesh properties are important contributing factors to chronic postoperative inguinal pain (CPIP) following Lichtenstein inguinal hernia repair. Some studies show using a light-weight mesh (LWM, <50 g/m2) over heavy-weight mesh (HWM, >70 g/m2) may decrease CPIP. However, most studies do not distinguish between partially absorbable light-weight mesh (PA-LWM) and permanent LWM. This study compares the rates of CPIP between PA-LWM, LWM, and HWM after Lichtenstein inguinal hernia repair.

Methods: A retrospective analysis of the ACHQC database from 2014 to 2024 was conducted for elective Lichtenstein repair of non-recurrent, unilateral inguinal hernias. Mesh was categorized as LWM <50 g/m2 or HWM ≥70 g/m2 distinguishing partially absorbable LWM. The primary outcome was the rate of CPIP at 6 months postoperatively for PA-LWM, LWM, and HWM.

Results: 319 patients met criteria for the study with 53 PA-LWM, 122 LWM, and 144 HWM patients. Baseline pain was highest in PA-LWM and lowest in HWM cohorts. At 6 months, 21% of PA-LWM, 21% of LWM, and 19% of HWM patients had chronic pain (p=0.93). This decreased to 3% for PA-LWM at 1-year, but remained approximately 20% for LWM and HWM (p = 0.045). The clinical recurrence rate at 1-year was 50% (2/4), 0% (0/8), and 0% (0/17) for PA-LWM, LWM, and HWM respectively (p = 0.001).

Conclusion: This study found that roughly 20% of patients have chronic pain at 6 months regardless of mesh weight or partially absorbable properties. While PA-LWM may decrease CPIP at 1 year, this may be accompanied with a higher clinical recurrence rate.

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腹股沟列支敦士登疝修补术后慢性腹股沟疼痛：部分可吸收轻质补片与常规轻质补片与重型补片。

简介：补片特性是Lichtenstein腹股沟疝修补术后慢性腹股沟疼痛（CPIP）的重要因素。一些研究表明，使用轻质网（LWM, 70 g/m2）可能会降低CPIP。然而，大多数研究并没有区分部分可吸收轻质补片（PA-LWM）和永久性LWM。本研究比较了PA-LWM、LWM和HWM在列支敦士登腹股沟疝修补术后的CPIP率。方法：回顾性分析2014 - 2024年ACHQC数据库中非复发性单侧腹股沟疝择期Lichtenstein修补术的资料。结果：319例患者符合研究标准，其中53例PA-LWM， 122例LWM， 144例HWM。基线疼痛在PA-LWM组最高，在HWM组最低。6个月时，21%的PA-LWM、21%的LWM和19%的HWM患者出现慢性疼痛（p=0.93）。1年后，PA-LWM的这一比例降至3%，但LWM和HWM的这一比例仍约为20% （p = 0.045）。PA-LWM、LWM和HWM的1年临床复发率分别为50%（2/4）、0%（0/8）和0% (0/17)（p = 0.001）。结论：本研究发现，无论补片重量或部分可吸收性如何，大约20%的患者在6个月时出现慢性疼痛。虽然PA-LWM可能在1年后降低CPIP，但这可能伴随着更高的临床复发率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Hernia SURGERY-

CiteScore

4.90

自引率

26.10%

发文量

171

审稿时长

4-8 weeks

期刊介绍： Hernia was founded in 1997 by Jean P. Chevrel with the purpose of promoting clinical studies and basic research as they apply to groin hernias and the abdominal wall . Since that time, a true revolution in the field of hernia studies has transformed the field from a ”simple” disease to one that is very specialized. While the majority of surgeries for primary inguinal and abdominal wall hernia are performed in hospitals worldwide, complex situations such as multi recurrences, complications, abdominal wall reconstructions and others are being studied and treated in specialist centers. As a result, major institutions and societies are creating specific parameters and criteria to better address the complexities of hernia surgery. Hernia is a journal written by surgeons who have made abdominal wall surgery their specific field of interest, but we will consider publishing content from any surgeon who wishes to improve the science of this field. The Journal aims to ensure that hernia surgery is safer and easier for surgeons as well as patients, and provides a forum to all surgeons in the exchange of new ideas, results, and important research that is the basis of professional activity.