These findings should be reliable, as this was a randomised controlled trial, which is the best type of study for finding out the effects of a treatment.
\nThe results of this study suggest laparoscopic surgery to repair an inguinal hernia is a good option for most people. It\u2019s a treatment that we know is likely to work. You are less likely to continue to have pain in your groin if you have this type of operation than if you have open surgery, and your hernia is no more likely to come back.
\nThis study did find that three times as many people have complications with laparoscopic surgery as with open surgery. But in the long term, people who had complications during the operation weren\u2019t any less likely to recover than those who didn\u2019t.
\nIf you need an operation to repair an inguinal hernia, it\u2019s worth discussing with your surgeon if laparoscopic surgery is the right option for you.<\/p>\n
![\"\"](\"http:\/\/www.ahmadfanaei.com\/en\/wp-content\/uploads\/2013\/08\/laparoscopic-repair-11.jpg\" "\\"laparoscopic-repair-1\\"")
<\/p>\n
Laparoscopic Repair of Inguinal Hernia with Biomimetic Matrix<\/h5>\n
The repair of an inguinal hernia is the most commonly performed abdominal general surgery procedure. Over time, many aspects of the surgical technique to repair inguinal hernias have evolved, namely the approach and type of mesh material used to reinforce the repair. In recent years, laparoscopic surgery has emerged as a viable approach, further advancing the treatment of inguinal hernia. Today, the types of mesh material available to surgeons are numerous which fall into 2 broad categories: synthetics (like polypropylene or polyester) and biologics (derived from human and animal tissue).
\nWhile the type of mesh material has evolved, there is no gold standard. Each category has its merits and drawbacks. The synthetics have a permanent, inherent strength but are associated with some incidence of chronic pain. It is believed that this chronic pain results from the formation of scar plate and unorganized tissue healing response. Physicians looking for a more natural healing solution that is not a permanent implant have moved toward the use of biologics. The biologics rely on variable tissue regeneration to give strength to the repair, limiting their use to specific situations. However, due to tissue ingrowth, the biologics do not result in a significant incidence of chronic pain.<\/p>\n
Biomimetic Matrix<\/strong><\/p>\n This study evaluates Biomimetic in an attempt to obviate the disadvantages of each material. Biomimetic surgical mesh consists of a novel biomaterial that combines the favorable properties of a biologic to support robust tissue ingrowth with the durability of a synthetic. The permanent structure of the mesh creates a strong mechanical repair, while its unique microarchitecture supports tissue ingrowth and formation. Eker HH, Langeveld HR, Klitsie PJ, et al., \u201cRandomized clinical trial of total extraperitoneal inguinal hernioplasty vs lichtenstein repair\u201d, Archives of Surgery, vol. 147, no. 3, pp. 256-260, 2012.
\nBiomimetic is shown in histology and in vivo to demonstrate regeneration and tissue ingrowth similar to that in the biologics rather than scarring. There were no recurrences, indicating its strength and resilience as a permanent repair similar to that in the synthetics.
\nThis is proof of the concept that a biomimetic may bridge the gap between the biologics and synthetics and may be able to be utilized on a regular basis with the benefits of both materials and without their drawbacks.<\/p>\n![\"\"](\"http:\/\/www.ahmadfanaei.com\/en\/wp-content\/uploads\/2013\/08\/laparoscopic-repair-3.jpg\" "\\"laparoscopic-repair-3\\"")
<\/p>\nReferences:<\/h4>\n
\nFine A, \u201cLaparoscopic repair of Inguinal Hernia with Biomimetic Matrix\u201d, Journal of the Society of Laparoendoscopic Surgeons, vol. 16, no. 4, pp. 564-568, 2012.<\/p>\n","protected":false},"excerpt":{"rendered":"