Twelve-month outcomes after fixation-free 3-dimensional lightweight SWING-Mesh implantation in minimally-invasive inguinal hernia repair: a multicenter prospective observational study
Year: 2026
Type: article
Study design: Observational Study
Abstract: INTRODUCTION: Long-term independent evidence regarding new mesh types used in inguinal hernia repair is scarce. We previously reported favorable 3-month outcomes for the fixation-free 3-dimensional SWING-Mesh, but early follow-up precluded capturing recurrence or persistent pain. AIM: We aimed to assess recurrence, pain, and complications 12 months after fixation-free SWING-Mesh implantation in transabdominal preperitoneal and totally extraperitoneal repairs. MATERIALS AND METHODS: A prospective observational cohort study was performed in 19 Polish centers. Consecutive adults undergoing elective laparoendoscopic repair with unfixed SWING-Mesh were enrolled; large direct (M3) defects and emergency procedures were excluded. The unit of analysis was the operated groin. Assessments were performed at discharge, 7-10 days, 30 days, 3 months, and at 12 months following surgery. The primary end point was recurrence; secondary end points were pain (Visual Analog Scale [VAS], 0-10 points) and complications. RESULTS: <0.001), and the number of pain-free cases increased from 78.5% to 93.1%. One case (0.43%) had a VAS score of 4 or higher. Complications remained at 6.9%, with no cases of seroma or hematoma. CONCLUSIONS: Fixation-free SWING-Mesh repair demonstrated a 12-month recurrence rate below the prespecified noninferiority margin, very low persistent pain, and complete resolution of structural complications, with pain scores continuing to improve beyond 3 months.
Authors: Mateusz Zamkowski, Maciej Bękarski, Jacek Białecki, Jarosław Chudek, Grzegorz Dobkowski, Paula Franczak, Jacek Grabias, Jakub Gołyski, Krystian Kisielewski, Marcin Kontek, Aleksander Król, Volodymyr Lavrynets, Bartosz Molasy, Kryspin Mitura, Dorota Piątek-Czypionka, Michał Putko, Jerzy Ropel, Przemysław Rymkiewicz, Sławomir Saluk, Leszek Sułkowski, Dominik Wieczorek, Marcin Włodarczyk, Marta Wójcik, Maciej Śmietański
Institutions: Gdańsk Medical University, Medical University of Warsaw, Wojskowy Instytut Medycyny Lotniczej, Lublin Oncology Center, University of Siedlce, Jan Kochanowski University, Wojewódzki Szpital Specjalistyczny nr 4 w Bytomiu, University of Warmia and Mazury in Olsztyn, Medical University of Lodz
Language: English
Topic: Hernia repair and management
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,480
OpenAlex ID: W7204602168