Mesh fixation vs. non-fixation in total extra peritoneal mesh hernioplasty

Area of Science:

• Surgical innovation in hernia repair.
• Comparative analysis of surgical techniques.

Background:

• Mesh fixation is a common method in hernia repair.
• The impact of mesh fixation versus non-fixation on patient outcomes requires further investigation.

Purpose of the Study:

• To compare the outcomes of mesh fixation versus non-fixation in total extraperitoneal mesh hernioplasty.
• To evaluate the effects of fixation methods on pain, urinary retention, and recurrence.

Main Methods:

• A prospective interventional study involving 63 patients undergoing total extraperitoneal mesh hernioplasty.
• Patients were divided into two groups: mesh fixation with tackers (Group I) and mesh non-fixation (Group II).
• Follow-up occurred at 6, 12, 24, and 60 months post-intervention.

Main Results:

• Mean pain scores were significantly lower in the non-fixation group (4.1±0.860) compared to the fixation group (4.7±0.683) (p<0.001).
• Urinary retention was more frequent in the fixation group, though not statistically significant (p>0.05).
• Recurrence rates were higher in the non-fixation group, also without statistical significance (p>0.05).

Conclusions:

• Non-fixation of mesh in total extraperitoneal mesh hernioplasty results in significantly less pain.
• Mesh non-fixation is a safe and viable alternative to fixation, with no significant increase in urinary retention or recurrence.
• The non-fixation technique is recommended for total extraperitoneal mesh hernioplasty.