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  Global Journal of Surgery. Volume 2, Issue 2 (2011) pp. 64-74
  Research Article
Titanium coated light weight polypropylene meshes in inguinal hernia repair: A prospective study
  Johannes Schmidta, Mike Ralf Langenbachb, Hubert Zirngiblc  
a Department of Surgery, Krankenhaus Landshut-Achdorf, Landshut, Germany
b Department of Surgery, Helios St. Elisabeth Klinik, Oberhausen, Germany
c Department of Surgery, University Witten-Herdecke, Wuppertal, Germany

  Introduction: The use of biocompatible material in humans is unavoidable in many ways. Latest studies revealed the importance of weight reduced meshes in hernia surgery. Titanium is a safe material for implants studied over many years. A prospective trial was therefore projected to document the qualities of titanium coated polypropylene meshes. Experimental: 117 consecutive patients with primary or / and recurrent inguinal hernia were included and treated either by TAPP or Lichtenstein repair. A cohort of 20 male patients with primary inguinal hernia undergoing TAPP was compared retrospectively to the results from a prospective randomized trial projected earlier, where three different types of mesh had been tested: a monofile heavy weight polypropylene, a smooth heavy weight polypropylene and a polyglactin/polypropylene compound-mesh. Complications, pain development, inability to work, physical conditions, testicular volume and blood circulation were documented. SF 36 evaluation score was used. Results and Discussion: Side effects of titanium coated meshes did not differ significantly from those of actually used light-weight meshes. Seroma formation was similar as noted with polypropylene alone. Pain development was lesser in the titanium group, the same as reduction in everyday life activities. Urological affections were similar as with low weight polypropylene and compound meshes. Patients with TAPP present lesser general impairment than patients with Lichtenstein repair. Conclusions: The titanium coated mesh offers more overall comfort to patients with inguinal hernia repair than low-weight and compound polypropylene meshes. Hernia surgery should abstain from a general use of high weight polypropylene meshes.

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