Mesh Fixation in Tapp Laparoscopic Hernia Repair: Introduction of a New Method in a Prospective Randomized Trial Publisher Pubmed



Kleidari B¹ ; Mahmoudieh M¹ ; Yaribakht M¹ ; Homaei Z² Show Affiliations
Source: Surgical Endoscopy Published:2014

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 wasfixedwith 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. © Springer Science+Business Media 2013.