, Volume 15, Issue 5, pp 511–515 | Cite as

Multicentric observational study of pain after the use of a self-gripping lightweight mesh

  • M. Á. García UreñaEmail author
  • M. Hidalgo
  • X. Feliu
  • M. Á. Velasco
  • S. Revuelta
  • R. Gutiérrez
  • A. Utrera
  • J. L. Porrero
  • M. Marín
  • C. Zaragoza
Original Article



Investigation in the field of inguinal hernia surgery is now focused on postoperative pain. The extended use of lightweight meshes and alternative methods of fixation may play a relevant role in the reduction of pain. In this study, a new self-gripping lightweight polypropylene mesh is tested.


A multicentric, observational study was scheduled to prospectively evaluate this new mesh. Ten centers agreed to participate. Only primary, type 1 or 2 uncomplicated hernias in adults were included. The mesh was placed as a Lichtenstein procedure without any fixation. A complete pain questionnaire was followed at 1 week, and at 1, 3 and 6 months postoperatively. The principal goal of the study was to evaluate maximum pain score at 6 months. Pain was assessed by a visual analog scale. A total of 256 patients were operated. Mean operative time was 35.6 min; 76.2% of patients were operated in an ambulatory setting.


There were a few postoperative complications: 2 wound infections, 17 seromas, 21 hematomas, 6 orchitis. The incidence of acute pain was 27.3% at week 1 and 7.5% at month 1. The incidence of chronic pain was 3.6% at month 3 and 2.8% at month 6. No recurrences or long-term complications were observed.


This self-gripping mesh can be used safely in type 1 and 2 primary, uncomplicated inguinal hernia with minimal morbidity and most patients under ambulatory setting. The registered incidence of chronic pain is lower than 3%.


Inguinal hernia Chronic pain Mesh Polypropylene Hernioplasty 

Supplementary material

Supplementary material 1 (WMV 1601 kb)


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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • M. Á. García Ureña
    • 1
    Email author
  • M. Hidalgo
    • 2
  • X. Feliu
    • 3
  • M. Á. Velasco
    • 4
  • S. Revuelta
    • 5
  • R. Gutiérrez
    • 6
  • A. Utrera
    • 9
  • J. L. Porrero
    • 7
  • M. Marín
    • 8
  • C. Zaragoza
    • 10
  1. 1.Department of SurgeryHenares HospitalCosladaSpain
  2. 2.Clínica Nuestra Señora del RosarioMadridSpain
  3. 3.Hospital General de IgualadaBarcelonaSpain
  4. 4.Hospital Universitario de Puerto RealCádizSpain
  5. 5.Hospital Marqués de ValdecillaSantanderSpain
  6. 6.Complejo Hospitalario de ToledoToledoSpain
  7. 7.Hospital Santa CristinaMadridSpain
  8. 8.Hospital Universitario ValmeSevillaSpain
  9. 9.Hospital Juan Ramón JiménezHuelvaSpain
  10. 10.Hospital General Universitario de ValenciaValenciaSpain

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