Our Summary

This research paper discusses a trial that compared two types of mesh used in hernia surgery. The meshes, Adhesix and Progrip, were tested on adult patients over a period of three years. The main goal was to see how many painkillers (specifically Paracetamol or Ibuprofen) patients needed in the week after their surgery. The trial also looked at issues related to pain, complications, and whether the hernia came back.

174 patients took part in the trial. Both meshes performed similarly in terms of how many painkillers patients needed after surgery. However, those who had the Progrip mesh used more painkillers on the first day after surgery. Generally, patients needed regular painkillers for about 11 days and occasional painkillers for about 16 days after surgery. It took patients about 16 days to return to work and normal activities.

Three months after surgery, more patients with the Progrip mesh reported moderate or severe pain during exercise. But a year after surgery, there was no difference in reported pain levels between the two groups. Two patients (one from each group) experienced a recurrence of their hernia. Both groups reported improved quality of life in physical aspects after the 3-month mark.

In conclusion, Adhesix was found to be as good as Progrip in hernia surgery. Either mesh could lead to a quick recovery and improved quality of life. The trial was registered on ClinicalTrials.gov.

FAQs

  1. What were the types of mesh used in the hernia surgery trial and what was the main goal of the trial?
  2. How did the use of painkillers compare between patients who had the Adhesix mesh and those who had the Progrip mesh?
  3. Did the type of mesh used in hernia surgery impact the patients’ recovery time and quality of life after surgery?

Doctor’s Tip

A doctor might advise a patient undergoing laparoscopic hernia repair to discuss the type of mesh being used in their surgery and ask about any potential differences in pain levels or recovery time. They may also recommend following post-operative pain management instructions closely to ensure a smooth recovery.

Suitable For

Patients who are typically recommended for laparoscopic hernia repair are those with inguinal hernias, femoral hernias, umbilical hernias, or incisional hernias. These patients may experience symptoms such as pain, discomfort, or a bulge in the affected area, which can be alleviated through surgical repair. Laparoscopic hernia repair is often preferred for its minimally invasive nature, shorter recovery time, and reduced risk of complications compared to traditional open surgery. Additionally, patients who have a high risk of complications from surgery, such as those with obesity or other medical conditions, may benefit from laparoscopic hernia repair.

Timeline

  • Before surgery: The patient consults with a surgeon to discuss the hernia repair procedure, potential risks, and benefits. They may undergo pre-operative tests and preparations.

  • Day of surgery: The patient arrives at the hospital or surgical center, undergoes anesthesia, and the laparoscopic hernia repair procedure is performed. The surgeon makes small incisions in the abdomen and inserts a laparoscope and mesh to repair the hernia.

  • Immediately after surgery: The patient may experience some pain and discomfort, and will be monitored in the recovery room before being discharged home.

  • First week after surgery: The patient may experience pain and discomfort, and will need to take painkillers as prescribed by the surgeon. They may also need to rest and avoid strenuous activities.

  • Three months after surgery: The patient may still experience some pain during exercise, but overall pain levels should be improving. Quality of life in physical aspects may be improved compared to before surgery.

  • One year after surgery: Pain levels should be significantly reduced, and the patient should be able to return to normal activities. Quality of life should continue to improve.

Overall, laparoscopic hernia repair using either Adhesix or Progrip mesh can lead to a quick recovery and improved quality of life for the patient.

What to Ask Your Doctor

  1. What type of hernia do I have and why do I need surgery to repair it?

  2. What are the potential risks and complications associated with laparoscopic hernia repair surgery?

  3. How long will the surgery take and what is the recovery time?

  4. Will I need to stay overnight in the hospital or is this a same-day procedure?

  5. What type of mesh will be used in my surgery and why was this chosen?

  6. How long will I need to take painkillers after the surgery and what type of pain management plan will be in place?

  7. What activities should I avoid after surgery and for how long?

  8. How likely is it that my hernia will come back after surgery, and what can I do to prevent this?

  9. Will I need any follow-up appointments or tests after the surgery?

  10. Are there any lifestyle changes or modifications I should make to aid in my recovery process?

Reference

Authors: Thölix AM, Kössi J, Grönroos-Korhonen M, Harju J. Journal: Surg Endosc. 2025 Apr;39(4):2425-2435. doi: 10.1007/s00464-025-11616-5. Epub 2025 Feb 20. PMID: 39979619