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Updated: May 11, 2026
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Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
Laparoscopic hernia repair: nonfixation mesh is feasibly?
Alberto Meyer1, Jean-Louis Dulucq, Ahmad Mahajna
1Department of Surgery, Professor Edmundo Vasconcelos Hospital, São Paulo, Brazil. almmeyer@usp.br
Summary
Total extraperitoneal hernioplasty using 3-D mesh is a safe and effective endoscopic technique for inguinal hernia repair, showing no recurrence in a 26-month follow-up.
Area of Science:
- Surgical Innovation
- Minimally Invasive Surgery
- Hernia Repair
Background:
- Endoscopic inguinal hernia repair commonly utilizes total extraperitoneal (TEP) and transabdominal preperitoneal (TAPP) techniques.
- Advancements in surgical methods aim to improve outcomes for inguinal hernia repair.
Purpose of the Study:
- To detail Dulucq's technique for total extraperitoneal inguinal hernia repair.
- To discuss the application and outcomes of using 3-D mesh in TEP inguinal hernia repair.
Main Methods:
- Prospective enrollment of patients undergoing elective inguinal hernia repair.
- Detailed study of operative and postoperative courses following TEP repair.
Main Results:
- 261 TEP inguinal hernia repairs were performed, with a 0.75% conversion rate to open repair.
- Mean operative times were 43.38 min (unilateral) and 53.36 min (bilateral).
- 95% same-day discharge, 5.7% morbidity, and 0.0% recurrence at 26 months median follow-up.
Conclusions:
- TEP hernioplasty is highly effective and safe for experienced surgeons.
- It offers a valuable option for bilateral and recurrent hernias with excellent pain and morbidity outcomes.
