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Polypropylene vs. stainless-steel wire suture: short-term recurrence rate after shouldice primary inguinal hernia repair, a non-inferior analysis among 1120 patients. A case–control study

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Title: Polypropylene vs. stainless-steel wire suture: short-term recurrence rate after shouldice primary inguinal hernia repair, a non-inferior analysis among 1120 patients. A case–control study
Authors: Christoph Paasch, Marguerite Mainprize, Richard Hunger, Fernando A C Spencer Netto
Source: Hernia
Publisher Information: Springer Science and Business Media LLC, 2024.
Publication Year: 2024
Subject Terms: Male, Sutures, Suture Techniques, Hernia, Inguinal, Middle Aged, Surgical Mesh, Polypropylenes, Stainless Steel, 03 medical and health sciences, 0302 clinical medicine, Recurrence, Case-Control Studies, Humans, Original Article, Female, Prospective Studies, Polypropylene, Female [MeSH], Stainless steel, Aged [MeSH], Stainless Steel [MeSH], Reoperation, Humans [MeSH], Prospective Studies [MeSH], Sutures/adverse effects [MeSH], Suture, Middle Aged [MeSH], Herniorrhaphy/adverse effects [MeSH], Suture Techniques/adverse effects [MeSH], Polypropylenes [MeSH], Recurrence [MeSH], Shouldice repair, Hernia, Inguinal/surgery [MeSH], Surgical Mesh/adverse effects [MeSH], Male [MeSH], Herniorrhaphy/instrumentation [MeSH], Suture Techniques/instrumentation [MeSH], Case-Control Studies [MeSH], Hernia recurrence, Herniorrhaphy, Aged
Description: Introduction Polypropylene material is commonly used for posterior wall reconstruction in hernia repair, in contrast with the classically described stainless-steel wire used at Shouldice Hospital. This study was conducted to evaluate possible differences in Shouldice Repair outcomes using polypropylene or stainless-steel wire sutures. Methods A prospective follow-up of consecutive patients who underwent elective unilateral Shouldice primary inguinal hernia repair at Shouldice Hospital between December 6, 2021, and September 1, 2022, was conducted. Data was collected from follow-up telephone calls as well as manually reviewing patient's charts. The primary objective was to determine whether the use of polypropylene was non-inferior to the use of stainless-steel wire, regarding the recurrence rate reported by the patients with a minimum follow-up of 1 year after Shouldice primary inguinal hernia repair. Results A total of 1120 patients were contacted by telephone (polypropylene: 560; stainless-steel wire: 560). The median follow-up period was 16 months (interquartile range: 15–18). In 22 (1.96%) cases a surgical site infection was diagnosed. There was a total of 18 recurrences reported by the patients (1.6%). There was no statistical difference between the groups (polypropylene: 7 (1.25%) vs. stainless steel wire: 11 (1.96%), p > 0.05) for the recurrence rate. Conclusion The use of polypropylene is non-inferior to the use of stainless-steel wire regarding recurrence rate at a median follow-up period of 16 months after elective unilateral Shouldice primary inguinal hernia repair. This finding may encourage other centers where stainless-steel wire is not easily available to perform the Shouldice Repair.
Document Type: Article
Other literature type
Language: English
ISSN: 1248-9204
DOI: 10.1007/s10029-024-03110-z
Access URL: https://pubmed.ncbi.nlm.nih.gov/39210196
https://repository.publisso.de/resource/frl:6498894
Rights: CC BY
Accession Number: edsair.doi.dedup.....2be61572e0bb144c9aaf3faa3a9d870d
Database: OpenAIRE
Description
Abstract:Introduction Polypropylene material is commonly used for posterior wall reconstruction in hernia repair, in contrast with the classically described stainless-steel wire used at Shouldice Hospital. This study was conducted to evaluate possible differences in Shouldice Repair outcomes using polypropylene or stainless-steel wire sutures. Methods A prospective follow-up of consecutive patients who underwent elective unilateral Shouldice primary inguinal hernia repair at Shouldice Hospital between December 6, 2021, and September 1, 2022, was conducted. Data was collected from follow-up telephone calls as well as manually reviewing patient's charts. The primary objective was to determine whether the use of polypropylene was non-inferior to the use of stainless-steel wire, regarding the recurrence rate reported by the patients with a minimum follow-up of 1 year after Shouldice primary inguinal hernia repair. Results A total of 1120 patients were contacted by telephone (polypropylene: 560; stainless-steel wire: 560). The median follow-up period was 16 months (interquartile range: 15–18). In 22 (1.96%) cases a surgical site infection was diagnosed. There was a total of 18 recurrences reported by the patients (1.6%). There was no statistical difference between the groups (polypropylene: 7 (1.25%) vs. stainless steel wire: 11 (1.96%), p > 0.05) for the recurrence rate. Conclusion The use of polypropylene is non-inferior to the use of stainless-steel wire regarding recurrence rate at a median follow-up period of 16 months after elective unilateral Shouldice primary inguinal hernia repair. This finding may encourage other centers where stainless-steel wire is not easily available to perform the Shouldice Repair.
ISSN:12489204
DOI:10.1007/s10029-024-03110-z