• G Pierides, T Scheinin, V Remes, K Hermunen, and J Vironen.
• Ambulatory Surgery Unit of Jorvi Hospital, Espoo, Finland. georgios.pierides@fimnet.fi
• Br J Surg. 2012 May 1; 99 (5): 630-6.

BackgroundChronic groin pain after mesh repair of inguinal hernia has been attributed to the presence of sutures.MethodsThis randomized clinical trial compared inguinal hernia repair using a self-fixating composite mesh or a sutured lightweight mesh, with pain at 1 year as primary outcome. Patients completed a self-evaluation questionnaire at 2 weeks and were examined after 1 year.ResultsSome 198 patients received self-fixating mesh and 196 sutured mesh. There were no differences between the groups in mean pain scores measured on a visual analogue scale during 2 weeks of immediate convalescence or at 1 year. Chronic pain and discomfort was experienced by 36.3 per cent of patients in the self-fixating and 34.1 per cent in the sutured mesh group (P = 0.658), affecting the everyday life of 1.1 and 2.8 per cent respectively (P = 0.448).ConclusionOpen inguinal hernia repair with a composite self-fixating mesh resulted in similar pain in the early postoperative convalescence period and at 1 year as repair with a sutured lightweight mesh.Copyright © 2012 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.

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