Mesh Fixation in TAPP Laparoscopic Hernia Repair: Introduction of a New Method in a Prospective Randomized Trial

Overview

Journal Surg Endosc

Publisher Springer

Specialties Gastroenterology
General Surgery
Radiology

Date 2013 Nov 8

PMID 24196538

Citations 9

Authors

Behrooz Kleidari

Mohsen Mahmoudieh

Mohammad Yaribakht

Zhila Homaei

Affiliations

Soon will be listed here.

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.

Citing Articles

Mesh fixation in laparoscopic groin hernia repair: a comprehensive review of techniques and devices.

Rancke-Madsen P, Oberg S, Rosenberg J Hernia. 2025; 29(1):105.

PMID: 39969637 DOI: 10.1007/s10029-025-03276-0.

Suture versus tacks in minimally invasive transabdominal preperitoneal inguinal repair: a meta-analysis of randomized controlled trials.

Pompeu B, da Rocha Soares G, Pereira Silva M, Farias A, Oliveira de Sousa Silva R, Poli de Figueiredo S Surg Endosc. 2024; 38(9):4858-4868.

PMID: 39160308 DOI: 10.1007/s00464-024-11138-6.

Comparison of single absorbable tacker vs. conventional method in fixating the mesh in bilateral inguinal hernia undergoing laparoscopic transabdominal preperitoneal (TAPP): A randomized control trial study.

Mir Mohammad Sadeghi P, Naseri A, Shishegar A, Melali H, Ashjaei A J Res Med Sci. 2024; 29:25.

PMID: 38855564 PMC: 11162083. DOI: 10.4103/jrms.jrms_161_23.

Comparison of Early Outcomes in Patients Undergoing Suture Fixation Versus Tack Fixation of Mesh in Laparoscopic Transabdominal Preperitoneal (TAPP) Repair of Inguinal Hernia.

Aziz S, Jan Z, Ijaz N, Zarin M, Toru H Cureus. 2022; 14(7):e26821.

PMID: 35971369 PMC: 9372384. DOI: 10.7759/cureus.26821.

Three-point mesh fixation in robot-assisted transabdominal preperitoneal (R-TAPP) repair of 208 inguinal hernias: preliminary results of a single-center consecutive series.

Spampatti S, La Regina D, Pini R, Mongelli F, Gaffuri P, Porcellini I Langenbecks Arch Surg. 2022; 407(6):2555-2561.

PMID: 35581394 DOI: 10.1007/s00423-022-02542-4.

References

Tetik C, Arregui M, Dulucq J, Fitzgibbons R, Franklin M, McKernan J . Complications and recurrences associated with laparoscopic repair of groin hernias. A multi-institutional retrospective analysis. Surg Endosc. 1994; 8(11):1316-22; discussion 1322-3. DOI: 10.1007/BF00188291. View

Ferzli G, Frezza E, Pecoraro Jr A, Ahern K . Prospective randomized study of stapled versus unstapled mesh in a laparoscopic preperitoneal inguinal hernia repair. J Am Coll Surg. 1999; 188(5):461-5. DOI: 10.1016/s1072-7515(99)00039-3. View

Felix E, Harbertson N, Vartanian S . Laparoscopic hernioplasty: significant complications. Surg Endosc. 1999; 13(4):328-31. DOI: 10.1007/s004649900982. View

Onofrio L, Cafaro D, Manzo F, Cristiano S, Sgromo B, Ussia G . [Tension-free laparoscopic versus open inguinal hernia repair]. Minerva Chir. 2004; 59(4):369-77. View

Hollinsky C, Gobl S . Bursting strength evaluation after different types of mesh fixation in laparoscopic herniorrhaphy. Surg Endosc. 1999; 13(10):958-61. DOI: 10.1007/s004649901146. View

Fernandez Lobato R, Garcia Septiem J, Ortega Deballon P, Martin Lucas F, Ruiz de Adana J, Limones Esteban M . Tissucol application in dermolipectomy and incisional hernia repair. Int Surg. 2002; 86(4):240-5. View

Lau H, Patil N . Selective non-stapling of mesh during unilateral endoscopic total extraperitoneal inguinal hernioplasty: a case-control study. Arch Surg. 2003; 138(12):1352-5. DOI: 10.1001/archsurg.138.12.1352. View

Bueno J, Serralta A, Planells M, Rodero D . Inguinodynia after two inguinal herniorrhaphy methods. Surg Laparosc Endosc Percutan Tech. 2004; 14(4):210-4. DOI: 10.1097/01.sle.0000136660.50669.89. View

Mahon D, Decadt B, Rhodes M . Prospective randomized trial of laparoscopic (transabdominal preperitoneal) vs open (mesh) repair for bilateral and recurrent inguinal hernia. Surg Endosc. 2003; 17(9):1386-90. DOI: 10.1007/s00464-002-9223-x. View

10.

Sayad P, Hallak A, Ferzli G . Laparoscopic herniorrhaphy: review of complications and recurrence. J Laparoendosc Adv Surg Tech A. 1998; 8(1):3-10. DOI: 10.1089/lap.1998.8.3. View

11.

Eubanks S, Newman 3rd L, Goehring L, LUCAS G, ADAMS C, Mason E . Meralgia paresthetica: a complication of laparoscopic herniorrhaphy. Surg Laparosc Endosc. 1993; 3(5):381-5. View

12.

Bringman S, Ramel S, Heikkinen T, Englund T, Westman B, Anderberg B . Tension-free inguinal hernia repair: TEP versus mesh-plug versus Lichtenstein: a prospective randomized controlled trial. Ann Surg. 2002; 237(1):142-7. PMC: 1513964. DOI: 10.1097/00000658-200301000-00020. View

13.

O Broin E, Horner C, Mealy K, Kerin M, Gillen P, OBrien M . Meralgia paraesthetica following laparoscopic inguinal hernia repair. An anatomical analysis. Surg Endosc. 1995; 9(1):76-8. DOI: 10.1007/BF00187893. View

14.

Dion Y, Laplante R, Charara J, Marois M . The influence of the number of endoclips and of mesh incorporation on the strength of an experimental hernia patch repair. Surg Endosc. 1994; 8(11):1324-8. DOI: 10.1007/BF00188292. View

15.

Lau H, Patil N . Acute pain after endoscopic totally extraperitoneal (TEP) inguinal hernioplasty: multivariate analysis of predictive factors. Surg Endosc. 2003; 18(1):92-6. DOI: 10.1007/s00464-003-9068-y. View

16.

Lowham A, Filipi C, Fitzgibbons Jr R, Stoppa R, WANTZ G, Felix E . Mechanisms of hernia recurrence after preperitoneal mesh repair. Traditional and laparoscopic. Ann Surg. 1997; 225(4):422-31. PMC: 1190751. DOI: 10.1097/00000658-199704000-00012. View

17.

Langrehr J, Schmidt S, Neuhaus P . Initial experience with the use of fibrin sealant for the fixation of the prosthetic mesh in laparoscopic transabdominal preperitoneal hernia repair. Rozhl Chir. 2005; 84(8):399-402. View

18.

Felix E, Scott S, Crafton B, Geis P, Duncan T, Sewell R . Causes of recurrence after laparoscopic hernioplasty. A multicenter study. Surg Endosc. 1998; 12(3):226-31. DOI: 10.1007/s004649900640. View

19.

Katkhouda N, Mavor E, Friedlander M, Mason R, Kiyabu M, Grant S . Use of fibrin sealant for prosthetic mesh fixation in laparoscopic extraperitoneal inguinal hernia repair. Ann Surg. 2001; 233(1):18-25. PMC: 1421161. DOI: 10.1097/00000658-200101000-00004. View

20.

Quilici P, GREANEY Jr E, Quilici J, Anderson S . Laparoscopic inguinal hernia repair: optimal technical variations and results in 1700 cases. Am Surg. 2000; 66(9):848-52. View