Related Experiment Video
Updated: Nov 23, 2025
Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
[Outcomes of various techniques of mesh prosthesis fixation in laparoscopic hernia repair]
E A Gallyamov1, M A Agapov2, Yu B Busyrev1
1Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.
Objective:
To compare early and long-term results of various mesh prosthesis fixation methods in laparoscopic inguinal hernia repair.
Material And Methods:
It is a prospective clinical non-randomized trial. The study included 212 patients. Conventional stapler fixation (112 patients), self-gripping mesh implants (48 patients) and n-butyl cyanoacrylate adhesive fixation (52 patients) were compared. We estimated surgery time, pain syndrome severity in early and long-term postoperative period, postoperative morbidity and recurrence rate were evaluated.
Results:
Early postoperative morbidity, activation of patients and hospital-stay were similar in all groups. Pain syndrome within 6 postoperative hours in the first group exceeded the same parameter in the second group by 1.23 times (95% CI 1.15-1.31, p<0.05) and by 1.19 times in the third group (95% CI 1.12-1.26, p<0.05). Within 12 hours, pain syndrome in the first group was 1.27 times more severe compared to the third group (95% CI 1.20-1.34, p<0.05). Pain syndrome in long-term period was similar in all groups. In the first group, one recurrence was detected (0.9%).
Conclusion:
There were no significant between-group differences. However, we found the correlation of postoperative pain syndrome with mesh implant fixation technique.
