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Quality of Life and Post-Operative Pain Following Laparoscopic Inguinal Hernia Repair With Self-Fixating Mesh: a
Samuel Josias Bizerra Calderon1,2,3, Humberto Fenner Lyra2,3, Tiago Rafael Onzi1,2
1Ultralitho Medical Centre, Florianópolis, Brazil.
Journal of Abdominal Wall Surgery : JAWS
|September 15, 2025
Summary
Transabdominal preperitoneal (TAPP) hernia repair using self-fixating mesh significantly improves patient quality of life starting at three months post-surgery. This minimally invasive technique also demonstrates a low incidence of chronic pain, enhancing recovery outcomes.
Area of Science:
- Minimally Invasive Surgery
- Surgical Outcomes Research
- Hernia Repair Techniques
Background:
- Laparoscopic inguinal hernia repair with self-fixating mesh offers potential benefits like reduced pain and complications.
- However, concerns persist regarding chronic pain and long-term quality of life post-procedure.
Purpose of the Study:
- To evaluate post-operative quality of life and pain levels after transabdominal preperitoneal (TAPP) hernia repair utilizing self-fixating mesh.
Main Methods:
- A prospective observational study involving 90 patients undergoing TAPP hernia repair.
- Quality of life assessed via EuraHS-QoL questionnaire at baseline and 1, 3, 6 months.
- Pain measured using a numeric rating scale; statistical analyses included linear mixed models.
Main Results:
- Significant improvements in EuraHS-QoL scores observed at 3 and 6 months post-operation (p < 0.001).
- Early improvement noted in pain and cosmetic domains; restriction domain improved later.
- Low rates of chronic pain at 3 months reported, among the lowest in existing literature.
Conclusions:
- TAPP hernia repair with self-fixating mesh leads to substantial quality-of-life improvements from 3 months onward.
- The self-fixating mesh technique is associated with favorable outcomes, including a low incidence of chronic pain.
