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Delivery sheet method for lichtenstein with progrip surgery on inguinal hernia repair
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DOI：10.1007/s00595-026-03274-4.png)
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Abstract
En 中文
PARIETEX (TM) ProGrip (TM) mesh (Medtronic USA) is a self-fixating synthetic mesh that is widely used in Lichtenstein inguinal hernia repair. Microgrip technology enables sutureless fixation, potentially reducing post-operative nerve pain. However, proper deployment of the mesh can be technically difficult owing to its adhesion to the surrounding tissue. We aimed to develop and evaluate a simple and effective method using a delivery sheet to facilitate the easy and accurate deployment of the ProGrip mesh during Lichtenstein hernia repair. Since April 2023, the delivery sheet method has been applied to the Lichtenstein repairs performed at our institution. A delivery sheet fashioned from the original mesh packaging was cut slightly larger than the mesh and used to spread the ProGrip without folding. This technique allows for smooth placement over the transversalis fascia without tissue interference. The median operative time was 77 +/- 19 min. The median time required to spread the ProGrip mesh on the delivery sheet was 5 +/- 2 min. No intraoperative complica-tions occurred, and no recurrences or postoperative complications were observed during the 1 to 2-year follow-up period.
Keywords:
ProGrip
Delivery sheet
Lichtenstein
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