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BACKGROUND
In the contemporary era Hernia
repair surgery has become almost
synonymous with mesh hernioplasty
Focus of research has shifted to
effect of mesh make on the
outcomes of the repair
BACKGROUND
This has led to the establishment of two different mesh
concepts:
HEAVYWEIGHT MESH
Heavy weight meshes have been
designed to guarantee a maximum
mechanical stability
Made with thick polymer fibres, small
pores,(<1mm), a high tensile
strength and large surface area.
Weight is about 72 g/m
Lightweight Mesh
Lightweight meshes are designed to
mimic the physiology of abdominal
wall and groin region
Made with small polymer fibres, large
pores(>1mm) and a high flexibility.
Weight is about 36 g/m
wall
Decreased
Lower
incidence of complications
Pitfalls
Concerns about increased
recurrence rate
Handling characteristics
Financial aspects
Outcome Endpoints
EXCLUSION CRITERIA
Methodology
Patients were evaluated on OPD
basis
Admitted one day prior to surgery
Discharged on second or third post
operative day
Follow up
Patients were followed up for a
period of 18 months
They were evaluated for presence of
groin pain and hernia recurrence
Age
LWM Group
HWM Group
16
15
16
13
14
12
12
10
No of Patients
8
6
4
3
2
2
0
35-45
46-55
56-65
Age in Years
66-75
Sex distribution
34
35
31
30
25
LWM Group
20
HWM Group
15
10
5
0
Male
Female
Presenting Symptoms
25
25
22
20
15
9
10
LWM
Group
5
3
5
0
Painless
Heaviness
Intermittent Pain
HWM
Group
Recurrence Rate
2
2
1.8
1.6
1.4
1.2
1
0.8
0.6
0.4
0.2
0
0
6 Months
12 Months
18 Months
LMW Group
HMW Group
HMW Group
6
6
5
4
4
3
2
1
0
6 Months
12 Months
18 0Months
Operative Time
LMW Group
HWM Group
25
20
21
20
15
15
11
9
10
4
5
0
85-95
96-105
Time in Min
106-115
Operative Time
101
100
99
98
97
96
95
94
93
92
91
HWM
Lightweight Mesh
Heavyweight Mesh
LWM
HWM
DAY 0
DAY 1
DAY 7
Testicular pain
32
35
29
30
25
LMW
20
HMW
15
10
5
0
Present
Absent
U
O
Y
K
N
A
H
T