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Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
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Do we need mesh fixation at the laparoscopic hernia repair?
1Health Sciences University Taksim Research Hospital General Surgery Department, Istanbul, Turkey; Health Sciences University Taksim Ilk Yardım Hospital, General Surgery Department, Istanbul, 34433, Turkey.
Asian Journal of Surgery
|August 19, 2023
Summary
Laparoscopic inguinal hernia repair without mesh fixation is safe and effective, leading to less postoperative pain and faster recovery. This approach offers advantages over mesh fixation, with no increase in recurrence or complications.
Area of Science:
- Minimally Invasive Surgery
- Surgical Oncology
- Gastrointestinal Surgery
Background:
- Inguinal hernias are common surgical conditions.
- Laparoscopic repair is increasingly utilized.
- Mesh fixation during laparoscopic repair is debated.
Purpose of the Study:
- To compare outcomes of mesh fixation versus non-fixation in laparoscopic inguinal hernia repair.
- To evaluate differences in postoperative pain, recurrence, complications, hospitalization, and return to social life.
Main Methods:
- Retrospective evaluation of prospectively collected data from 81 patients.
- All patients underwent Total Extraperitoneal repair (TEP).
- Patients were divided into two groups: mesh non-fixation (n=50) and mesh fixation with 2 tackers (n=31).
Main Results:
- The non-fixation group showed significantly better outcomes in postoperative pain, hospital stay, and return to social life.
- No significant differences were observed between groups regarding complications and recurrence rates.
Conclusions:
- Total Extraperitoneal (TEP) inguinal hernia repair can be safely performed without mesh fixation.
- Further prospective randomized studies are recommended to confirm these findings.
