Open Inguinal Hernia Repair With Self-Gripping Parietex Progrip Mesh: A Gold Standard Technique With 0% Chronic Pain and Recurrence

Background Chronic pain and recurrence rates are the main challenge in modern inguinal hernia surgery. The purpose of our study was to retrospectively evaluate the early and long-term results after a standard, safe and effective technique using a self-gripping mesh (Parietex Progrip®, Covidien). Method The study was conducted from 2018 to today in a Hernia Center. 106 patients underwent open inguinal hernioplasty with Progrip mesh. Reassessments performed at 1 week, 1, 6 months, 3 and 5 years recording complications above all chronic pain and recurrence. Results The average age was 57 years, SD +/- 11.7. Two patients were affected by recurrent inguinal hernia and 5 by bilateral inguinal hernia. The sample consists of 98 males and 8 females. The mean operating time was 52 minutes SD +/- 15.56. No recurrences, cases of chronic pain or mesh infections were recorded postoperatively; we found 2 seromas at the first outpatient check-up, 1 in a patient treated for a recurrent hernia. Conclusion This case series is the continuation of our previous experience begun in 2006 including data on 970 procedures (0 chronic pain and 3 relapses), for a total of 1076 patients performed by a single operating surgeon. Our results show 0% chronic pain and recurrence in 106 patients and encourage the use of self-gripping mesh (Progrip) in inguinal hernioplasty.