Related Experiment Video
Updated: Sep 17, 2025
Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
Do we have to rethink slit-mesh technique in endoscopic inguinal hernia repair? - A matched pair analysis
Konstantinos Zarras1, Jens Plambeck2, Joseph Kankam2
1Marien Hospital Düsseldorf, Academic Teaching Hospital of the Heinrich-Heine-University of Düsseldorf, Rochusstrasse 2, DE, 40479, Düsseldorf, Germany. info@zarrasmed.com.
Introduction:
Due to a lack of evidence, the use of slit meshes in laparo-endoscopic hernia repair is a topic of controversial debate. Therefore, further studies are needed on this key question.
Methods:
This retrospective analysis of prospectively recorded data from the Herniamed Registry compared the perioperative and 1-year follow-up outcomes after laparo-endoscopic inguinal hernia repair with slit mesh versus non-slit mesh. Matching was performed for 1,028 pairs.
Results:
A significant difference was identified in the recurrence rate on 1-year follow-up in favor of the slit mesh (0.6% vs 1.8%; p = 0.023). No such systematic difference was found for any of the other outcome variables (intraoperative complications, general complications, postoperative complications, complication-related reoperations, pain at rest, pain on exertion, and pain requiring treatment on 1-year follow-up).
Conclusion:
The use of a slit mesh versus a non-slit mesh in laparo-endoscopic inguinal hernia repair is associated with a significantly lower recurrence rate. There is no relation with any other outcome criteria. Since the use of a slit mesh in laparo-endoscopic inguinal hernia repair seems to influence the outcome, this topic should be further investigated.
