RT Journal Article SR Electronic T1 A new fixation-free 3D multilamellar preperitoneal implant for open inguinal hernia repair JF Canadian Journal of Surgery JO CAN J SURG FD Canadian Medical Association SP 66 OP 68 DO 10.1503/cjs.001416 VO 60 IS 1 A1 Antonio Brescia A1 Federico Tomassini A1 Giammauro Berardi A1 Massimo Pezzatini A1 Umile Michele Cosenza A1 Davide Castiglia A1 Anna Dall’Oglio A1 Adelona Salaj A1 Marcello Gasparrini YR 2017 UL http://canjsurg.ca/content/60/1/66.abstract AB Between September 2014 and December 2015, 32 patients with inguinal hernia were treated using a new 3D mesh in our department. This mesh is characterized by a multilamellar flower-shaped central core with a flat, large-pore polypropylene ovoid disk that has to be implanted preperitoneally. Compared with the traditional Lichtenstein procedure, we observed a shorter mean duration of surgery and a significantly lower mean visual analogue scale (VAS) postoperative pain score recorded immediately after the procedure in the 3D mesh group. The mean VAS score recoded after 4 and 8 postoperative days showed better results in the 3D mesh group than the control group. Moreover, there was reduced postoperative morbidity in the 3D mesh group than the control group, even if no patients experienced severe complications.