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Updated: Oct 26, 2025

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
Four-year follow-up in 33 patients after inguinal hernioplasty using the NeT Plug & Patch device
Aim:
To prove that the Net Plug & Patch is a valid device for the surgical treatment of inguinal hernia.
Material Of Study:
The authors of a previous study decided to continue the follow-up for a further three years on 33 patients who had had hernia repair surgery using the three-dimensional NeT Plug & Patch device at their Hernia Center.
Results:
All of the patients involved took part and the follow-up appointments were scheduled as follows: clinical examination at two years; telephone contact at three years and telephone contact and questionnaire at four years. No symptoms were observed at the second, third and fourth year follow-up time-points. There were no cases of recurrence.
Discussion:
The Lichtenstein technique is currently considered the gold standard. However, many surgeons now prefer to use the MPR (Mesh Plug Repair) technique, despite the potential complications of using a plug. The technique had a short learning curve with no complications associated directly with the plug used such as migration or possible erosion of the adjacent hollow abdominal organs or blood vessels.
Conclusions:
the NeT Plug & Patch device thus proved to be comfortable, safe and efficacious in inguinal repair surgery using the MPR technique.
Key Words:
Mesh Plug Repair (MPR), Plug migration, Trabucco repair.

