Clinical Comparative Study Between ProGrip Mesh And UHS Mesh In The Treatment Of Inguinal Hernia Under The Corresponding Operation

Objective:Comparison and analysis the clinical effect by contrast between Lichtenstein operation with ProGrip self-gripping mesh and anterior preperitoneal tension-free repair with UHS mesh(Gilbert operation)in the treatment of inguinal hernia.Methods:A retrospective analysis of 150 male cases who got treatment in the department of general surgery the second hospital of shanxi medical university were enrolled,from September 2015 to August 2017.All the patients with inguinal hernia were divided into two groups according to the operation mode and the type of mesh.There are 75 cases in each group.The patients in group A were treated by Lichtenstein operation with ProGrip self-gripping mesh that product originate from Covidien companies in the US.The patients in group B were treated with anterior preperitoneal tension-free repair with UHS mesh which originated from Johnson companies in the US.The operative time,days of hospitalization,the incidence of postoperative chronic pain,the foreign body sensation,the postoperative mesh infection and the recurrence were compared between the two surgical procedures.Results:In the two groups,operation time,postoperative incidence of chronic pain,foreign body sensation were statistically significant(t=30.21??~2=5.37??~2=11.04;p<0.05?p=0.02?p<0.05).There are no statistical significances between two groups of patients in hospital time(t=0.98,p=0.328).There was no mesh infection and recurrence in the next 3 months of following up.Conclusion:Two kinds of different mesh and the corresponding treatment of inguinal hernia both have good recent effect.There are no statistically significant differences between two types of operation in postoperative infection rate and the recurrence rate.The application of Lichtenstein operation with ProGrip self-gripping mesh has certain advantages in the prevention of postoperative incidence of foreign body sensation and shortening the operation time,and it's easy to study.In theory,the anterior preperitoneal tension-free repair with UHS mesh is more accord with human body mechanics and has certain advantages in preventing postoperative chronic pain,but it is relatively complicated and the operation learning curve is relatively long.