Comparison of outcomes between lightweight and heavyweight meshes in open inguinal hernia surgery: A prospective study of 60 cases in our standard

Authors

  • Mohammad Faroque Eastiak Associate Professor, Department of General Surgery, Bangladesh Medical University, Dhaka.
  • Md Saiful Islam Associate Professor, Department of General Surgery, Bangladesh Medical University, Dhaka, Bangladesh.
  • Md Shahidul Islam Associate Professor, Department of Colorectal Surgery, Bangladesh Medical University, Dhaka, Bangladesh.
  • Abunur Md Masud Rana Assistant Professor, Department of General Surgery, Bangladesh Medical University, Dhaka, Bangladesh.
  • Mohammad Salim Assistant Professor, Department of General Surgery, Bangladesh Medical University, Dhaka, Bangladesh.
  • Mohammad Ziaur Rahman Assistant Professor, Department of General Surgery, Bangladesh Medical University, Dhaka, Bangladesh.
  • Md Faysal Kamal Medical Officer, Department of General Surgery, Bangladesh Medical University, Dhaka.

Keywords:

Inguinal hernia, Hernioplasty, Lightweight mesh (LWM), Heavyweight mesh (HWM), HRQoL (Health Related Quality of Life)

Abstract

Introduction: The principle of modern open hernia surgery is tension-free mesh repair. The choice of mesh component varies from surgeon to surgeon and depends on patient factors. This study was aimed at identifying the benefit of lightweight polypropylene meshes for open inguinal hernia surgery over the heavyweight ones.

Methods: A one-year prospective observational study from 1st January 2022 to 31st December 2022 was conducted to identify the effects of both lightweight and heavyweight meshes. The patients were interviewed on follow-ups up to one year after surgery and different aspects of health related to this surgery were assessed single-blindly.

Results: Higher score in the HRQoL (Health Related Quality of Life) in the light-weight mesh group suggest that lightweight mesh provides better overall satisfaction with the patient’s experience, improved post-operative recovery and well-being. Alternatively heavyweight mesh cohort rarely achieved full satisfaction during one-year follow-up in the physical and mental health domains.

Conclusion: HWM had a distinctive advantage over LWM with regard to recurrence. The two types of prosthetic meshes had equivalent outcomes for postoperative pain, seroma, foreign body sensation, infection, and numbness. Studies focused on defect sizes and fixation methods are warranted for further stratification. 

Journal of Surgical Sciences 2024;28(2): 69-76

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Published

2026-07-16

How to Cite

Comparison of outcomes between lightweight and heavyweight meshes in open inguinal hernia surgery: A prospective study of 60 cases in our standard. (2026). Journal of Surgical Sciences, 28(2), 69-76. https://doi.org/10.3329/jss.v28i2.91229

Issue

Vol. 28 No. 2 (2024)

Section

Original Articles

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No part of the materials published in this Journal may be reproduced, stored in a retrieval system or transmitted in any form or by any means electronic, mechanical, photocopying, recording or otherwise without the prior written permission of the publisher. Reprints of any article in file Journal will be available from the publisher.

How to Cite

Comparison of outcomes between lightweight and heavyweight meshes in open inguinal hernia surgery: A prospective study of 60 cases in our standard. (2026). Journal of Surgical Sciences, 28(2), 69-76. https://doi.org/10.3329/jss.v28i2.91229