Randomized clinical trial of lightweight composite mesh for XXXX .

@entity1 @entity7502 @entity158 @entity547 @entity169
BACKGROUND: Almost half the @entity1 who undergo hernia repair with mesh report a feeling of stiffness and a foreign body in the groin. This study evaluated whether @entity1 noticed any difference between lightweight and standard @entity7502 mesh for the repair of @entity169 . METHODS: @entity1 scheduled for elective repair of unilateral or bilateral, primary or recurrent @entity169 by the Lichtenstein technique were randomized to receive either a conventional densely woven @entity7502 mesh (100-110 g/m(2)) or a lightweight composite multifilament mesh ( @entity7502 27-30 g/m(2)). Quality of life was assessed using Short Form 36 before operation and 6 months after surgery. @entity158 was assessed by means of a visual analogue scale 2 days and 6 months after surgery. The primary outcome measure was the feeling of a foreign body in the groin at 6 months. RESULTS: Some 122 @entity547 were randomized; 117 were included in the analysis of perioperative data, and 106 were re-examined after 6 months. There were no differences between the treatment groups with respect to early and late surgical complications. Use of lightweight mesh was associated with significantly less @entity158 on exercise after 6 months (P = 0.042). In addition, fewer @entity1 reported the feeling of a foreign body after repair with lightweight mesh (17.2 versus 43.8 per cent with conventional mesh; P = 0.003). Quality of life was improved significantly at 6 months compared with the preoperative assessment, and there were no differences between the treatment groups. CONCLUSION: Lightweight @entity7502 mesh may be preferable for Lichtenstein repair of @entity169 . Larger cohorts with longer follow-up are needed before it can be recommended for routine use.
