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Updated: Jul 16, 2026
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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
Transabdominal preperitoneal videolaparoscopic hernioplasty without mesh fixation.
Vitor Neves1, Gabriela Lyons2, Fernando Athayde Madureira1
1Universidade Federal do Estado do Rio de Janeiro, Departament of Surgery - Rio de Janeiro (RJ), Brazil.
Summary
Transabdominal preperitoneal (TAPP) inguinal hernia repair without mesh fixation is feasible for select patients. This cost-effective approach shows no recurrence or chronic pain, with a low infection rate.
Area of Science:
- Minimally invasive surgery
- Surgical oncology
- Gastrointestinal surgery
Background:
- Inguinal hernia repair is a common surgical procedure globally.
- Laparoscopic techniques, including transabdominal preperitoneal (TAPP), offer benefits like reduced pain and faster recovery.
- Traditional TAPP involves mesh fixation with staplers, increasing costs.
Purpose of the Study:
- To assess the feasibility of videolaparoscopic inguinal hernioplasty (TAPP) without mesh fixation.
- To evaluate this technique in patients with European Hernia Society grade I and II defects.
Main Methods:
- Forty patients underwent TAPP inguinal hernioplasty using polypropylene mesh without fixation.
- Follow-up included outpatient appointments and a phone questionnaire.
- Mean follow-up duration was 27.2 months.
Main Results:
- 52 hernias were repaired in 40 patients (25% bilateral).
- No instances of hernia recurrence or chronic pain were reported.
- The surgical site infection rate was 12.5%.
Conclusions:
- TAPP inguinal hernioplasty without mesh fixation is feasible for European Hernia Society grade I and II patients.
- The technique demonstrates safety, efficacy, and potential cost-effectiveness.
- This approach may be a viable alternative in resource-limited settings.
