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Updated: May 12, 2026
Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
Mesh vs. non-mesh repair for inguinal hernias in emergency operations
Takatsugu Oida1, Atsushi Kawasaki, Kenji Mimatsu
1Department of Surgery, Social Insurance Yokohama Central Hospital, Yokohama, Japan. ooida.takatsugu@yokochu.jp
Background/Aims:
Prosthetic repair has become the gold standard for elective management of inguinal hernias; however, its use in the setting of acute incarceration is still limited for fear of prosthetic-related complications, mainly infection. Thus, in this study. we conducted a comparative investigation of the outcomes of prosthetic repair vs. tissue repair in the management of incarcerated inguinal hernias.
Methodology:
We retrospectively analyzed 62 patients who underwent emergency operations for incarceration of an inguinal hernia. These patients were divided into 2 groups based on the surgical procedure used: a mesh repair group (M group) and a non-mesh repair group (N group).
Results:
There were no significant differences between the 2 groups with respect to postoperative complications and the mean period of post-operative hospitalization.
Conclusions:
Contrary to traditional belief, the use of a prosthetic mesh in the emergency setting is not contra-indicated. Its usage for the repair of incarcerated inguinal hernias appears to be safe and acceptable. However, when perforation of the intestine occurs due to incarceration of an inguinal hernia, prosthetic repair using hernioplasty should not be performed because of the high risk of infection.
