European journal of medical research
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Comparative Study Clinical Trial
Heavy-weight versus low-weight polypropylene meshes for open sublay mesh repair of incisional hernia.
The introduction of retromuscular, preperitoneal sublay technique using polypropylene (PP) meshes had significantly decreased the recurrence rates after open incisional hernia repair. Nevertheless, recent data of single institutions reported about non-acceptable high hernia recurrences. The objective of this study was to determine early complications and the long-term course of patients who underwent open sublay hernia repair using heavy-weight versus low-weight PP meshes. ⋯ Large pore-sized low-weight PP meshes composed of multifilaments are clearly to be favoured over large pore-sized, monofilament heavy-weight PP meshes because of better abdominal wall compliance and less chronic pain. However, both types of meshes are convincing due to high tensile strength and low recurrence rates in the long-term run.
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Clinical Trial
Long-term improvement in pain coping for cLBP and gonarthrosis patients following body needle acupuncture: a prospective cohort study.
Little is known about potential long-term effects of body acupuncture. The aim of the study was to determine such long-term effects 3 and 6 months after the end of a course of acupuncture treatment for chronic low-back pain (cLBP) or chronic pain caused by gonarthrosis. ⋯ Pain tolerability was significantly improved after acupuncture and remained so up to 6 months after treatment. The mean scores of almost all questionnaires did not change significantly between 3 and 6 months. We therefore conclude that acupuncture had a long-term effect on important aspects of cognitive and emotional pain coping.