A comparative study of postoperative complications of lightweight mesh and conventional prolene mesh in Lichtenstein hernia repair

Gugri Mukthinath, Kiran Shankar, Bhaskaran A.


Background:  Inguinal hernia repair is the most frequently performed operation in any general surgical unit. The complications of using the mesh has been the rationale to examine the role of mesh in hernia repair in detail and to begin investigating the biocompatibility of different mesh modifications and to challenge old mesh concepts. Therefore the present study is undertaken to compare the lightweight mesh (Ultrapro) with conventional prolene mesh in lichtenstein hernia repair.

Methods: Thirty one patients with primary unilateral inguinal hernia was subjected either to lightweight mesh Lichtenstein’s hernioplasty or standard prolene mesh Lichtenstein’s hernioplasty. The patients were followed in the surgical OPD at 1 month, 6 months and 1 year for time taken to return to normal activities, chronic groin pain, foreign body sensation, seroma formation and recurrence.

Results: Chronic pain among patients in standard prolene mesh group at 1 month, 6 month, and 1 year follow up was seen in 45.2%, 16% and 3.2% of the patients respectively, in light weight mesh group patients at 1 month, 6 month and 1 year follow up was 32.2%, 6.4% and none at one year respectively.   Foreign body sensation in the light weight mesh group is significantly less compared to patients in standard prolene mesh group. Time taken to return to work was relatively shorter among patients in Light weight mesh group. There was no recurrence in both groups.

Conclusion:  Light weight mesh is an ideal choice in Lichenstein’s hernioplasty whenever feasible.



Inguinal hernia, Prolene mesh, Lightweight mesh, Tension free repair

Full Text:



Woods B, Neumayer L. Open repair of inguinal hernia: Evidence based review in surgical clinics of North America. 2008;88:144-6.

Stephen HG, Mary TH, Kamal MFI. Surgical progress in inguinal and ventral incisional hernia repair. In Surgical Clinics of North America. 2008;88:18.

Madden JL, Hakim S, Agrorogianuis AB. The anatomy and repair of inguinal hernias. Surg Clin N Am. 1971;51(6):1269-92.

Schofield PF. Inguinal Hernia: Medicolegal Implications. Ann R Coll Surg Engl. 2000;82:109-10.

Das S. A Concise textbook of surgery. 1st ed. Calcutta: Dr. S. Das. 1994.

Kingsnorth AN, Bennet DH. Hernias, Umbilicus and abdominal wall. Chapter 73; in Russell RCG, Williams NS and Bulstrode CJK, editors: Bailey and Love’s Short Practice of Surgery, 25th edn. London: Arnold. 2008:968.

Das SA. A textbook on surgical short cases. 1st ed. Calcutta: Dr. S. Das. 1990.

Martin K, Belsham PA, Klark AE. The Lichenstein’s repair. Surg Clin North Am. 1998;78(6):1025-46.

Klinge U. Mesh for hernia repair. Br J Surg. 2008;95:539-40.

Silvestre AC, de Mathia GB, Fagundes DJ, Medeiros LR, Rosa MI. Shrinkage evaluation of heavyweight and lightweight polypropylene meshes in inguinal hernia repair: a randomized controlled trial. In Hernia. 2011;15(6):629- 34.

Uzzaman MM, Ratnasingham K, Ashraf N. Meta-analysis of randomized controlled trials comparing lightweight and heavyweight mesh for Lichtenstein inguinal hernia repair. Hernia. 2012;16(5):505-18.

Post S, Weiss B, Willer M, Neufang T, Lorenz D. Randomised controlled trial of light weight composite mesh for Lichtenstein inguinal hernia repair. In British Journal of Surgery. 2004;91:44-8.

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. In Br J Surg. 2006;93(9):1056-9.

Dwyer PJO, Kingsworth AN, Molloy RG, Small PK, Lammers B, Horeyseck G. Randomized clinical trial assessing impact of a lightweight or heavyweight mesh on chronic pain after inguinal hernia repair. In British Journal of Surgery. 2005;92:166-70.

Smietanski M. for the Polish Hernia study group. Randomised clinical trial comparing polypropylene with a poliglecaprone and polypropylene composite mesh for inguinal hernioplasty. In British Journal of Surgery. 2008;95:1462-8.