¿Se debe fijar la malla durante una herniorrafia inguinal?
Palabras clave:
hernia inguinal, prótesis e implantes, mallas quirúrgicas, dispositivos de fijación quirúrgicos, dolor posoperatorioResumen
Introducción. La fijación de la malla durante una herniorrafia inguinal ha sido recomendada rutinariamente. La información disponible es controversial. En este estudio se hace una revisión crítica de la literatura científica, evaluando la efectividad clínica de esta intervención en cirugía laparoscópica y abierta (técnica de Lichtenstein).
Métodos. Se hizo una búsqueda de la literatura científica siguiendo la metodología BET (Best Evidence Topic), para identificar artículos que compararan fijar contra no fijar la malla durante una herniorrafia inguinal. Los artículos se revisaron según los criterios de apreciación de la Journal of the American Medical Association (JAMA). Se extrajeron los datos de la efectividad de la intervención y se analizaron resultados primarios como reproducción, dolor posoperatorio, infección, seroma y hematoma. Se analizaron como resultados secundarios costo, tiempo de estancia hospitalaria, retorno laboral y tiempo quirúrgico.
Resultados. Se encontraron una revisión sistemática de la literatura científica y nueve estudios de asignación aleatoria. En herniorrafia totalmente extraperitoneal, transabdominal preperitoneal y abierta, no existe diferencia en la frecuencia de reproducción, infección, seroma ni hematoma. La presencia de dolor posoperatorio disminuye tardíamente cuando no se fija la malla, tanto en herniorrafia abierta como laparoscópica. En herniorrafia laparoscópica el tiempo de incapacidad no disminuye si se fija la malla. Fijar la malla incrementa el costo y el tiempo quirúrgico.
Conclusiones. La fijación de la malla puede omitirse en herniorrafia laparoscópica totalmente extraperitoneal, en la transabdominal preperitoneal y en la abierta por vía anterior (Lichtenstein). La principal ventaja de no fijar la malla, documentada en los estudios disponibles, tiene que ver con la reducción del dolor posoperatorio crónico, sin que exista diferencia en la tasa de reproducción. No hay información disponible sobre esta intervención en otros tipos de herniorrafia abierta, como la preperitoneal (Nyhus).
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Referencias bibliográficas
1. Hollinsky C, Sandberg S, Koch T, Seidler S. Biomechanical properties of lightweight versus heavyweight meshes for lapa- roscopic inguinal hernia repair and their impact on recurrence rates. Surg Endosc. 2008;22:2679-85.
https://doi.org/10.1007/s00464-008-9936-6
2. Klosterhalfen B, Junge K, Klinge U. The lightweight and large porous mesh concept for hernia repair. Expert Rev Med Devices. 2005;2:103-17.
https://doi.org/10.1586/17434440.2.1.103
3. Inaki N, Waseda M, Schurr MO, Braun M, Buess GF. Ex- perimental results of mesh fixation by a manual manipulator in a laparoscopic inguinal hernia repair model. Surg Endosc. 2007;21:197-201.
https://doi.org/10.1007/s00464-006-0065-9
4. Schwab R, Schumacher O, Junge K, Binnebösel M, Klinge U, Becker HP, et al. Biomechanical analyses of mesh fixation in TAPP and TEP hernia repair. Surg Endosc. 2008;22:731-8.
https://doi.org/10.1007/s00464-007-9476-5
5. Emergency Department at Manchester Royal Infirmary. Best bets. Best evidence topics. Fecha de consulta: 12 de junio de 2011. Disponible en: www.bestbets.org.
6. Guyatt GH, Sackett DL, Cook DJ. Users' guides to the medical literature. II. How to use an article about therapy or prevention. What were the results and will they help me in caring for my patients? JAMA. 1994;271:59-63.
https://doi.org/10.1001/jama.271.1.59
7. Oxman AD, Cook DJ, Guyatt GH. Users' guides to the medical literature. VI. How to use an overview. JAMA. 1994;272:1367-71.
https://doi.org/10.1001/jama.1994.03520170077040
8. Guyatt GH, Sackett DL, Cook DJ. Users' guides to the medical literature. II. How to use an article about therapy or prevention. A. Are the results of the study valid? Working Group. JAMA. 1993;270:2598-601.
https://doi.org/10.1001/jama.1993.03510210084032
9. Tam KW, Liang HH, Chai CY. Outcomes of staple fixation of mesh versus nonfixation in laparoscopic total extraperitoneal inguinal repair: A meta-analysis of randomized controlled trials. World J Surg. 2010;12:3065-74.
https://doi.org/10.1007/s00268-010-0760-5
10. Ferzli GS, Frezza EE, Pecoraro AM Jr, Ahern KD. Prospective randomized study of stapled versus unstapled mesh in a lapa- roscopic preperitoneal inguinal hernia repair. J Am Coll Surg. 1999;188:461-5.
https://doi.org/10.1016/S1072-7515(99)00039-3
11. Parshad R, Kumar R, Hazrah P, Bal S. A randomized compari- son of the early outcome of stapled and unstapled techniques of laparoscopic total extraperitoneal inguinal hernia repair. JSLS. 2005;9:403-7.
12. Koch CA, Greenlee SM, Larson DR, Harrington JR, Farley DR. Randomized prospective study of totally extraperitoneal inguinal hernia repair: fixation versus no fixation of mesh. JSLS. 2005:10:457-60
13. Taylor C, Layani L, Liew V, Ghusn M, Crampton N, White S. Laparoscopic inguinal hernia repair without mesh fixation, early results of a large randomised clinical trial. Surg Endosc. 2008:22:757-62.
https://doi.org/10.1007/s00464-007-9510-7
14. Moreno-Egea A, Torralba Martínez JA, Morales Cuenca G, Aguayo Albasini JL. Randomized clinical trial of fixation vs. nonfixation of mesh in total extraperitoneal inguinal hernio- plasty. Arch Surg. 2004:139:1376-9.
https://doi.org/10.1001/archsurg.139.12.1376
15. Smith AI, Royston CM, Sedman PC. Stapled and nonstapled laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair. A prospective randomized trial. Surg Endosc. 1999;13:804-6.
https://doi.org/10.1007/s004649901104
16. Leibl BJ, Kraft B, Redecke JD, Schmedt CG, Ulrich M, Kraft K, et al. Are postoperative complaints and complica- tions influenced by different techniques in fashioning and fixing the mesh in transperitoneal laparoscopic hernioplasty? Results of a prospective randomized trial. World J Surg. 2002;26:1481-4.
https://doi.org/10.1007/s00268-002-6204-0
17. Kapischke M, Schulze H, Caliebe A. Self-fixating mesh for the Lichtenstein procedure--a prestudy. Langenbecks Arch Surg. 2010;395:317-22.
https://doi.org/10.1007/s00423-010-0597-2
18. Bruna-Esteban M, Cantos-Pallarés M, Artigues-Sánchez De Rojas E. Use of adhesive mesh in hernioplasty compared to the conventional technique. Results of a randomised prospective study. Cir Esp. 2010;88:253-8.
https://doi.org/10.1016/S2173-5077(10)70031-4
19. Felix E, Scott S, Crafton B, Geis P, Duncan T, Sewell R, et al. Causes of recurrence after laparoscopic hernioplasty. A multicenter study. Surg Endosc. 1998;12:226-31.
https://doi.org/10.1007/s004649900640
20. Deans GT, Wilson MS, Royston CM, Brough WA. Recurrent inguinal hernia after laparoscopic repair: Possible cause and prevention. Br J Surg. 1995;82:539-41.
https://doi.org/10.1002/bjs.1800820433
21. Chowbey PK, Bandyopadhyay SK, Sharma A, Khullar R, Soni V, Baijal M. Recurrent hernia following endoscopic to- tal extraperitoneal repair. J Laparoendosc Adv Surg Tech A. 2003;13:21-5.
https://doi.org/10.1089/109264203321235421
22. Quilici PJ, Greaney EM, Jr, Quilici J, Anderson S. Laparoscopic inguinal hernia repair: optimal technical variations and results in 1700 cases. Am Surg. 2000;66:848-52.
23. Lowham AS, Filipi CJ, Fitzgibbons RJ Jr, Stoppa R, Wantz GE, Felix EL, et al. Mechanisms of hernia recurrence after preperitoneal mesh repair. Traditional and laparoscopic. Ann Surg. 1997;225:422-31.
https://doi.org/10.1097/00000658-199704000-00012
24. Novik B, Nordin P, Skullman S, Dalenbäck J, Enochsson L. More recurrences after hernia mesh fixation with short-term absorbable sutures: A registry study of 82 015 Lichtenstein repairs. Arch Surg. 2011;146:12-7.
https://doi.org/10.1001/archsurg.2010.302
25. Beattie GC, Kumar S, Nixon SJ. Laparoscopic total extrape- ritoneal hernia repair: Mesh fixation is unnecessary. J Lapa- roendosc Adv Surg Tech A. 2000;10:71-3.
https://doi.org/10.1089/lap.2000.10.71
26. Kapiris S, Mavromatis T, Andrikopoulos S, Georgiades C, Floros D, Diamantopoulos G. Laparoscopic transabdominal preperitoneal hernia repair (TAPP): Stapling the mesh is not mandatory. J Laparoendosc Adv Surg Tech A. 2009;19:419-22.
https://doi.org/10.1089/lap.2008.0350
27. Spitz JD, Arregui ME. Sutureless laparoscopic extraperito- neal inguinal herniorrhaphy using reusable instruments: Two hundred and three repairs without recurrence. Surg Laparosc Endosc Percutan Tech. 2000;10:24-9.
https://doi.org/10.1097/00129689-200002000-00006
28. Kukleta JF. Causes of recurrence in laparoscopic inguinal hernia repair. J Minim Access Surg. 2006;2:187-91.
https://doi.org/10.4103/0972-9941.27736
29. Edwards CC 2nd, Bailey RW. Laparoscopic hernia repair: The learning curve. Surg Laparosc Endosc Percutan Tech. 2000;10:149-53.
https://doi.org/10.1097/00129689-200006000-00010
30. Khajanchee YS, Urbach DR, Swanstrom LL, Hansen PD. Outcomes of laparoscopic herniorrhaphy without fixation of mesh to the abdominal wall. Surg Endosc. 2001;15:1102-7.
https://doi.org/10.1007/s004640080088
31. Eubanks S, Newman L, 3rd, Goehring L, Lucas GW, Adams CP, Mason E, Duncan T. Meralgia paresthetica: A complica- tion of laparoscopic herniorrhaphy. Surg Laparosc Endosc. 1993;3:381-5.
32. Keating JP, Morgan A. Femoral nerve palsy following la- paroscopic inguinal herniorrhaphy. J Laparoendosc Surg. 1993;3:557-9.
https://doi.org/10.1089/lps.1993.3.557
33. Nikkolo C, Lepner U, Murruste M, Vaasna T, Seepter H, Tikk T. Randomized clinical trial comparing lightweight mesh with heavyweight mesh for inguinal hernioplasty. Hernia. 2010;14:253-8.
https://doi.org/10.1007/s10029-010-0630-y
34. Koch A, Bringman S, Myrelid P, Smeds S, Kald A. Rando- mized clinical trial of groin hernia repair with titanium-coated lightweight mesh compared with standard polypropylene mesh. Br J Surg. 2008;95:1226-31.
https://doi.org/10.1002/bjs.6325
35. Bringman S, Wollert S, Osterberg J, Smedberg S, Granlund H, Heikkinen TJ. Three-year results of a randomized clinical trial of lightweight or standard polypropylene mesh in Lichtenstein repair of primary inguinal hernia. Br J Surg. 2006;93:1056-9.
https://doi.org/10.1002/bjs.5403
36. Paajanen H. A single-surgeon randomized trial comparing three composite meshes on chronic pain after Lichtenstein hernia repair in local anesthesia. Hernia. 2007;11:335-9.
https://doi.org/10.1007/s10029-007-0236-1
37. Smietański M. Randomized clinical trial comparing a poly- propylene with a poliglecaprone and polypropylene composite mesh for inguinal hernioplasty. Br J Surg. 2008;95:1462-8.
https://doi.org/10.1002/bjs.6383
38. Peeters E, Spiessens C, Oyen R, De Wever L, Vanderschueren D, Penninckx F, Miserez M. Laparoscopic inguinal hernia repair in men with lightweight meshes may significantly im- pair sperm motility: a randomized controlled trial. Ann Surg. 2010;252:240-6.
https://doi.org/10.1097/SLA.0b013e3181e8fac5
39. Chowbey PK, Garg N, Sharma A, Khullar R, Soni V, Baijal M, Mittal T. Prospective randomized clinical trial comparing lightweight mesh and heavyweight polypropylene mesh in endoscopic totally extraperitoneal groin hernia repair. Surg Endosc. 2010;24:3073-9.
https://doi.org/10.1007/s00464-010-1092-0
40. Acevedo A. Mallas sintéticas irreabsorbibles: su desarrollo en la cirugía de las hernias abdominales. Revista Chilena de Cirugía. 2008;60:457-64.
https://doi.org/10.4067/S0718-40262008000500017
41. Valenzuela R, San Martín J, Abarca J, Toro P, Radich P. Evaluación de una nueva malla protésica para la reparación de hernias. Revista Chilena de Cirugía. 1995;47:586-92.
https://doi.org/10.5944/rif.1.1995.5325
42. Agarwal BB, Agarwal KA, Mahajan KC. Prospective double- blind randomized controlled study comparing heavy- and lightweight polypropylene mesh in totally extraperitoneal repair of inguinal hernia: Early results. Surg Endosc. 2009;23:242-7.
https://doi.org/10.1007/s00464-008-0188-2
43. Bringman S, Wollert S, Osterberg J, Smedberg S, Granlund H, Felländer G, Heikkinen T. Early results of a randomized mul- ticenter trial comparing Prolene and VyproII mesh in bilateral endoscopic extraperitoneal hernioplasty (TEP). Surg Endosc. 2005;19:536-40.
https://doi.org/10.1007/s00464-004-9100-x
44. Langenbach MR, Schmidt J, Zirngibl H. Comparison of bio- materials: Three meshes and TAPP for inguinal hernia. Surg Endosc. 2006;20:1511-7.
https://doi.org/10.1007/s00464-005-0078-9
45. Horstmann R, Hellwig M, Classen C, Röttgermann S, Palmes D. Impact of polypropylene amount on functional outcome and quality of life after inguinal hernia repair by the TAPP proce- dure using pure, mixed, and titanium-coated meshes. World J Surg 2006;30:1742-9.
https://doi.org/10.1007/s00268-005-0242-3
46. Chastan P. Tension-free open hernia repair using an innovative self-gripping semi-resorbable mesh. Hernia. 2009;13:137-42.
https://doi.org/10.1007/s10029-008-0451-4
https://doi.org/10.1007/s00464-008-9936-6
2. Klosterhalfen B, Junge K, Klinge U. The lightweight and large porous mesh concept for hernia repair. Expert Rev Med Devices. 2005;2:103-17.
https://doi.org/10.1586/17434440.2.1.103
3. Inaki N, Waseda M, Schurr MO, Braun M, Buess GF. Ex- perimental results of mesh fixation by a manual manipulator in a laparoscopic inguinal hernia repair model. Surg Endosc. 2007;21:197-201.
https://doi.org/10.1007/s00464-006-0065-9
4. Schwab R, Schumacher O, Junge K, Binnebösel M, Klinge U, Becker HP, et al. Biomechanical analyses of mesh fixation in TAPP and TEP hernia repair. Surg Endosc. 2008;22:731-8.
https://doi.org/10.1007/s00464-007-9476-5
5. Emergency Department at Manchester Royal Infirmary. Best bets. Best evidence topics. Fecha de consulta: 12 de junio de 2011. Disponible en: www.bestbets.org.
6. Guyatt GH, Sackett DL, Cook DJ. Users' guides to the medical literature. II. How to use an article about therapy or prevention. What were the results and will they help me in caring for my patients? JAMA. 1994;271:59-63.
https://doi.org/10.1001/jama.271.1.59
7. Oxman AD, Cook DJ, Guyatt GH. Users' guides to the medical literature. VI. How to use an overview. JAMA. 1994;272:1367-71.
https://doi.org/10.1001/jama.1994.03520170077040
8. Guyatt GH, Sackett DL, Cook DJ. Users' guides to the medical literature. II. How to use an article about therapy or prevention. A. Are the results of the study valid? Working Group. JAMA. 1993;270:2598-601.
https://doi.org/10.1001/jama.1993.03510210084032
9. Tam KW, Liang HH, Chai CY. Outcomes of staple fixation of mesh versus nonfixation in laparoscopic total extraperitoneal inguinal repair: A meta-analysis of randomized controlled trials. World J Surg. 2010;12:3065-74.
https://doi.org/10.1007/s00268-010-0760-5
10. Ferzli GS, Frezza EE, Pecoraro AM Jr, Ahern KD. Prospective randomized study of stapled versus unstapled mesh in a lapa- roscopic preperitoneal inguinal hernia repair. J Am Coll Surg. 1999;188:461-5.
https://doi.org/10.1016/S1072-7515(99)00039-3
11. Parshad R, Kumar R, Hazrah P, Bal S. A randomized compari- son of the early outcome of stapled and unstapled techniques of laparoscopic total extraperitoneal inguinal hernia repair. JSLS. 2005;9:403-7.
12. Koch CA, Greenlee SM, Larson DR, Harrington JR, Farley DR. Randomized prospective study of totally extraperitoneal inguinal hernia repair: fixation versus no fixation of mesh. JSLS. 2005:10:457-60
13. Taylor C, Layani L, Liew V, Ghusn M, Crampton N, White S. Laparoscopic inguinal hernia repair without mesh fixation, early results of a large randomised clinical trial. Surg Endosc. 2008:22:757-62.
https://doi.org/10.1007/s00464-007-9510-7
14. Moreno-Egea A, Torralba Martínez JA, Morales Cuenca G, Aguayo Albasini JL. Randomized clinical trial of fixation vs. nonfixation of mesh in total extraperitoneal inguinal hernio- plasty. Arch Surg. 2004:139:1376-9.
https://doi.org/10.1001/archsurg.139.12.1376
15. Smith AI, Royston CM, Sedman PC. Stapled and nonstapled laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair. A prospective randomized trial. Surg Endosc. 1999;13:804-6.
https://doi.org/10.1007/s004649901104
16. Leibl BJ, Kraft B, Redecke JD, Schmedt CG, Ulrich M, Kraft K, et al. Are postoperative complaints and complica- tions influenced by different techniques in fashioning and fixing the mesh in transperitoneal laparoscopic hernioplasty? Results of a prospective randomized trial. World J Surg. 2002;26:1481-4.
https://doi.org/10.1007/s00268-002-6204-0
17. Kapischke M, Schulze H, Caliebe A. Self-fixating mesh for the Lichtenstein procedure--a prestudy. Langenbecks Arch Surg. 2010;395:317-22.
https://doi.org/10.1007/s00423-010-0597-2
18. Bruna-Esteban M, Cantos-Pallarés M, Artigues-Sánchez De Rojas E. Use of adhesive mesh in hernioplasty compared to the conventional technique. Results of a randomised prospective study. Cir Esp. 2010;88:253-8.
https://doi.org/10.1016/S2173-5077(10)70031-4
19. Felix E, Scott S, Crafton B, Geis P, Duncan T, Sewell R, et al. Causes of recurrence after laparoscopic hernioplasty. A multicenter study. Surg Endosc. 1998;12:226-31.
https://doi.org/10.1007/s004649900640
20. Deans GT, Wilson MS, Royston CM, Brough WA. Recurrent inguinal hernia after laparoscopic repair: Possible cause and prevention. Br J Surg. 1995;82:539-41.
https://doi.org/10.1002/bjs.1800820433
21. Chowbey PK, Bandyopadhyay SK, Sharma A, Khullar R, Soni V, Baijal M. Recurrent hernia following endoscopic to- tal extraperitoneal repair. J Laparoendosc Adv Surg Tech A. 2003;13:21-5.
https://doi.org/10.1089/109264203321235421
22. Quilici PJ, Greaney EM, Jr, Quilici J, Anderson S. Laparoscopic inguinal hernia repair: optimal technical variations and results in 1700 cases. Am Surg. 2000;66:848-52.
23. Lowham AS, Filipi CJ, Fitzgibbons RJ Jr, Stoppa R, Wantz GE, Felix EL, et al. Mechanisms of hernia recurrence after preperitoneal mesh repair. Traditional and laparoscopic. Ann Surg. 1997;225:422-31.
https://doi.org/10.1097/00000658-199704000-00012
24. Novik B, Nordin P, Skullman S, Dalenbäck J, Enochsson L. More recurrences after hernia mesh fixation with short-term absorbable sutures: A registry study of 82 015 Lichtenstein repairs. Arch Surg. 2011;146:12-7.
https://doi.org/10.1001/archsurg.2010.302
25. Beattie GC, Kumar S, Nixon SJ. Laparoscopic total extrape- ritoneal hernia repair: Mesh fixation is unnecessary. J Lapa- roendosc Adv Surg Tech A. 2000;10:71-3.
https://doi.org/10.1089/lap.2000.10.71
26. Kapiris S, Mavromatis T, Andrikopoulos S, Georgiades C, Floros D, Diamantopoulos G. Laparoscopic transabdominal preperitoneal hernia repair (TAPP): Stapling the mesh is not mandatory. J Laparoendosc Adv Surg Tech A. 2009;19:419-22.
https://doi.org/10.1089/lap.2008.0350
27. Spitz JD, Arregui ME. Sutureless laparoscopic extraperito- neal inguinal herniorrhaphy using reusable instruments: Two hundred and three repairs without recurrence. Surg Laparosc Endosc Percutan Tech. 2000;10:24-9.
https://doi.org/10.1097/00129689-200002000-00006
28. Kukleta JF. Causes of recurrence in laparoscopic inguinal hernia repair. J Minim Access Surg. 2006;2:187-91.
https://doi.org/10.4103/0972-9941.27736
29. Edwards CC 2nd, Bailey RW. Laparoscopic hernia repair: The learning curve. Surg Laparosc Endosc Percutan Tech. 2000;10:149-53.
https://doi.org/10.1097/00129689-200006000-00010
30. Khajanchee YS, Urbach DR, Swanstrom LL, Hansen PD. Outcomes of laparoscopic herniorrhaphy without fixation of mesh to the abdominal wall. Surg Endosc. 2001;15:1102-7.
https://doi.org/10.1007/s004640080088
31. Eubanks S, Newman L, 3rd, Goehring L, Lucas GW, Adams CP, Mason E, Duncan T. Meralgia paresthetica: A complica- tion of laparoscopic herniorrhaphy. Surg Laparosc Endosc. 1993;3:381-5.
32. Keating JP, Morgan A. Femoral nerve palsy following la- paroscopic inguinal herniorrhaphy. J Laparoendosc Surg. 1993;3:557-9.
https://doi.org/10.1089/lps.1993.3.557
33. Nikkolo C, Lepner U, Murruste M, Vaasna T, Seepter H, Tikk T. Randomized clinical trial comparing lightweight mesh with heavyweight mesh for inguinal hernioplasty. Hernia. 2010;14:253-8.
https://doi.org/10.1007/s10029-010-0630-y
34. Koch A, Bringman S, Myrelid P, Smeds S, Kald A. Rando- mized clinical trial of groin hernia repair with titanium-coated lightweight mesh compared with standard polypropylene mesh. Br J Surg. 2008;95:1226-31.
https://doi.org/10.1002/bjs.6325
35. Bringman S, Wollert S, Osterberg J, Smedberg S, Granlund H, Heikkinen TJ. Three-year results of a randomized clinical trial of lightweight or standard polypropylene mesh in Lichtenstein repair of primary inguinal hernia. Br J Surg. 2006;93:1056-9.
https://doi.org/10.1002/bjs.5403
36. Paajanen H. A single-surgeon randomized trial comparing three composite meshes on chronic pain after Lichtenstein hernia repair in local anesthesia. Hernia. 2007;11:335-9.
https://doi.org/10.1007/s10029-007-0236-1
37. Smietański M. Randomized clinical trial comparing a poly- propylene with a poliglecaprone and polypropylene composite mesh for inguinal hernioplasty. Br J Surg. 2008;95:1462-8.
https://doi.org/10.1002/bjs.6383
38. Peeters E, Spiessens C, Oyen R, De Wever L, Vanderschueren D, Penninckx F, Miserez M. Laparoscopic inguinal hernia repair in men with lightweight meshes may significantly im- pair sperm motility: a randomized controlled trial. Ann Surg. 2010;252:240-6.
https://doi.org/10.1097/SLA.0b013e3181e8fac5
39. Chowbey PK, Garg N, Sharma A, Khullar R, Soni V, Baijal M, Mittal T. Prospective randomized clinical trial comparing lightweight mesh and heavyweight polypropylene mesh in endoscopic totally extraperitoneal groin hernia repair. Surg Endosc. 2010;24:3073-9.
https://doi.org/10.1007/s00464-010-1092-0
40. Acevedo A. Mallas sintéticas irreabsorbibles: su desarrollo en la cirugía de las hernias abdominales. Revista Chilena de Cirugía. 2008;60:457-64.
https://doi.org/10.4067/S0718-40262008000500017
41. Valenzuela R, San Martín J, Abarca J, Toro P, Radich P. Evaluación de una nueva malla protésica para la reparación de hernias. Revista Chilena de Cirugía. 1995;47:586-92.
https://doi.org/10.5944/rif.1.1995.5325
42. Agarwal BB, Agarwal KA, Mahajan KC. Prospective double- blind randomized controlled study comparing heavy- and lightweight polypropylene mesh in totally extraperitoneal repair of inguinal hernia: Early results. Surg Endosc. 2009;23:242-7.
https://doi.org/10.1007/s00464-008-0188-2
43. Bringman S, Wollert S, Osterberg J, Smedberg S, Granlund H, Felländer G, Heikkinen T. Early results of a randomized mul- ticenter trial comparing Prolene and VyproII mesh in bilateral endoscopic extraperitoneal hernioplasty (TEP). Surg Endosc. 2005;19:536-40.
https://doi.org/10.1007/s00464-004-9100-x
44. Langenbach MR, Schmidt J, Zirngibl H. Comparison of bio- materials: Three meshes and TAPP for inguinal hernia. Surg Endosc. 2006;20:1511-7.
https://doi.org/10.1007/s00464-005-0078-9
45. Horstmann R, Hellwig M, Classen C, Röttgermann S, Palmes D. Impact of polypropylene amount on functional outcome and quality of life after inguinal hernia repair by the TAPP proce- dure using pure, mixed, and titanium-coated meshes. World J Surg 2006;30:1742-9.
https://doi.org/10.1007/s00268-005-0242-3
46. Chastan P. Tension-free open hernia repair using an innovative self-gripping semi-resorbable mesh. Hernia. 2009;13:137-42.
https://doi.org/10.1007/s10029-008-0451-4
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2012-07-01
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Domínguez, L. C.; Sanabria, Álvaro; Vega, N. V.; Osorio, C. ¿Se Debe Fijar La Malla Durante Una Herniorrafia Inguinal?. Rev Colomb Cir 2012, 27, 202-212.
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Todos los textos incluidos en la Revista Colombiana de Cirugía están protegidos por derechos de autor. Las opiniones expresadas en los artículos firmados son las de los autores y no coinciden necesariamente con las de los directores o los editores de la Revista Colombiana de Cirugía. Las sugerencias diagnósticas o terapéuticas como elección de productos, dosificación y métodos de empleo corresponden a la experiencia y al criterio de los autores.
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