Do we need mesh fixation at the laparoscopic hernia repair?
Objective: With the development of laparoscopic treatment, widespread use of laparoscopy has become inevitable for the treatment of inguinal hernias, which is one of the most common ailments in surgical practice. Fixing or not fixing the mesh during laparoscopic repair remains a debate. In our study...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-10-01
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| Series: | Asian Journal of Surgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1015958423011764 |
| _version_ | 1797669916704243712 |
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| author | Tolga Onder Merih Altiok |
| author_facet | Tolga Onder Merih Altiok |
| author_sort | Tolga Onder |
| collection | DOAJ |
| description | Objective: With the development of laparoscopic treatment, widespread use of laparoscopy has become inevitable for the treatment of inguinal hernias, which is one of the most common ailments in surgical practice. Fixing or not fixing the mesh during laparoscopic repair remains a debate. In our study, we aimed to compare patients with and without mesh fixation in terms of postoperative pain, recurrence, complications, hospitalization and return to social life. Method: The surgical technique to be performed was randomly determined, 81 patients whose data were kept prospectively and evaluated retrospectively were included in the study. Total extraperitoneal repair (TEP) was performed in all patients. While the mesh was not fixed in 50 patients, it was fixed with 2 tackers in 31 patients. Results: When the two groups of patients were compared, the group without mesh fixation was found to be superior in terms of postoperative pain, length of hospital stay and return to social life. There was no difference between the 2 groups in terms of complications and recurrence. Conclusions: In the light of these findings, it is seen that TEP hernia repair can be performed safely without mesh fixation, although prospective randomized studies are needed. |
| first_indexed | 2024-03-11T20:51:49Z |
| format | Article |
| id | doaj.art-94001601a77c4ef4a7a5644a98af2e25 |
| institution | Directory Open Access Journal |
| issn | 1015-9584 |
| language | English |
| last_indexed | 2024-03-11T20:51:49Z |
| publishDate | 2023-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Journal of Surgery |
| spelling | doaj.art-94001601a77c4ef4a7a5644a98af2e252023-10-01T05:58:10ZengElsevierAsian Journal of Surgery1015-95842023-10-01461043944396Do we need mesh fixation at the laparoscopic hernia repair?Tolga Onder0Merih Altiok1Health Sciences University Taksim Research Hospital General Surgery Department, Istanbul, Turkey; Health Sciences University Taksim Ilk Yardım Hospital, General Surgery Department, Istanbul, 34433, Turkey; Corresponding author. Health Science University Taksim Research Hospital. General Surgery Department, İstanbul, 34433, Turkey.Cukurova University Department of Surgical Oncology, Sarıcam, Adana, 01330, TurkeyObjective: With the development of laparoscopic treatment, widespread use of laparoscopy has become inevitable for the treatment of inguinal hernias, which is one of the most common ailments in surgical practice. Fixing or not fixing the mesh during laparoscopic repair remains a debate. In our study, we aimed to compare patients with and without mesh fixation in terms of postoperative pain, recurrence, complications, hospitalization and return to social life. Method: The surgical technique to be performed was randomly determined, 81 patients whose data were kept prospectively and evaluated retrospectively were included in the study. Total extraperitoneal repair (TEP) was performed in all patients. While the mesh was not fixed in 50 patients, it was fixed with 2 tackers in 31 patients. Results: When the two groups of patients were compared, the group without mesh fixation was found to be superior in terms of postoperative pain, length of hospital stay and return to social life. There was no difference between the 2 groups in terms of complications and recurrence. Conclusions: In the light of these findings, it is seen that TEP hernia repair can be performed safely without mesh fixation, although prospective randomized studies are needed.http://www.sciencedirect.com/science/article/pii/S1015958423011764LaparoscopyHernia repairInguinal hernia |
| spellingShingle | Tolga Onder Merih Altiok Do we need mesh fixation at the laparoscopic hernia repair? Asian Journal of Surgery Laparoscopy Hernia repair Inguinal hernia |
| title | Do we need mesh fixation at the laparoscopic hernia repair? |
| title_full | Do we need mesh fixation at the laparoscopic hernia repair? |
| title_fullStr | Do we need mesh fixation at the laparoscopic hernia repair? |
| title_full_unstemmed | Do we need mesh fixation at the laparoscopic hernia repair? |
| title_short | Do we need mesh fixation at the laparoscopic hernia repair? |
| title_sort | do we need mesh fixation at the laparoscopic hernia repair |
| topic | Laparoscopy Hernia repair Inguinal hernia |
| url | http://www.sciencedirect.com/science/article/pii/S1015958423011764 |
| work_keys_str_mv | AT tolgaonder doweneedmeshfixationatthelaparoscopicherniarepair AT merihaltiok doweneedmeshfixationatthelaparoscopicherniarepair |