Mesh fixation in TAPP laparoscopic hernia repair: introduction of a new method in a prospective randomized trial.

Abstract

BACKGROUND:

Mesh fixation is a critical step in TAPP laparoscopic hernia repair because tackers used for this purpose are associated with possible neuralgia.

METHODS:

For the present study, 70 patients referred with unilateral inguinal or femoral hernia were divided in two groups for hernia repair. In first group mesh was fixed with titanium tacker. In the second group mesh was fixed with a single suture of Vicryl.

RESULTS:

Patients in the Vicryl group experienced less postoperative pain and analgesic consumption. Six month follow-up demonstrated no hernia recurrence either.

CONCLUSIONS:

According to results, use of Vicryl suture instead of a titanium tacker is beneficial owing to reduced pain, less analgesic consumption, and lower cost.

• Authors: Behrooz Kleidari, Mohsen Mahmoudieh, Mohammad Yaribakht, Zhila Homaei
• Journal: Surgical endoscopy (Surg Endosc) Vol. 28 Issue 2 Pg. 531-6 (Feb 2014) ISSN: 1432-2218 [Electronic] Germany
• PMID: 24196538 (Publication Type: Journal Article, Randomized Controlled Trial)

Topics

• Adolescent
• Adult
• Aged
• Aged, 80 and over
• Female
• Follow-Up Studies
• Hernia, Femoral (surgery)
• Hernia, Inguinal (surgery)
• Herniorrhaphy (methods)
• Humans
• Laparoscopy (methods)
• Male
• Middle Aged
• Prospective Studies
• Surgical Mesh
• Suture Techniques (instrumentation)
• Sutures
• Treatment Outcome
• Young Adult