Lichtenstein hernioplasty with monocryl-prolene composite mesh in bilateral inguinal hernia

Abstract

Background Inguinal hernia repairs consume an important part of health care resources because of the high incidence of the problem. It is estimated that twenty million inguinal hernia repairs are performed globally every year. Lichtenstein tension-free hernia repair is considered as a gold standard technique for open inguinal hernia repair in the European guidelines on inguinal hernia. Objective The aim of this study is to evaluate the light-weight composite mesh of monocryl-prolene in bilateral inguinal hernia repair (Lichtenstein technique) regarding outcome and complications. Patients and methods A prospective interventional study was conducted on 25 patients with bilateral inguinal hernia. Complete physical examination (general and local), including PR examination; routine laboratory tests; ECG; chest radiography; and abdominopelvic ultrasound were done for all patients. Bilateral Lichtenstein procedure using monocryl-prolene mesh was planned for all patients. Patients were followed up for 12 months. Intraoperative findings (operative time and complications), hospital stay, and postoperative complications including pain and recurrence were thoroughly assessed. Results There were no intraoperative or postoperative mesh-related complications (infection or foreign body sensation), and the mesh was well accepted by all patients. No patient had significant pain related to hernia repair. No significant scrotal complications were encountered. No recurrence after 1 year of follow-up was noted. Conclusion Lichtenstein-style bilateral inguinal hernia repair using light-weight monofilament Ultrapro mesh appears quite acceptable, practical, effective, and safe for increased physical quality of life. There was no significant pain or infection in all patients, as well as no recurrence.

Keywords

• bilateral inguinal hernia repair
• lichtenstein hernioplasty
• monocryl-prolene composite mesh (ultrapro)