Literature Review Methods for Prosthetic Mesh Fixation in Surgical Repair of Inguinal Hernias

Abstract

The article is devoted to the evolution of fixation methods for synthetic mesh endoprostheses in surgery of inguinal hernias. We have analyzed the data on failures and complications of synthetic implants. We paid a special attention to available techniques, such as endoprostheses fixation without sutures as well as to the fixation using various types of glue. Our review is based on its own experimental and clinical data as well as the data from world's best hospitals. We found that the use of fibrin glue frequently leads to formation of seromas and hematomas, whereas albumin-glutaraldehyde glue may result in abscesses and pyogenic inflammatory infections of surgical sites. The authors pointed out the importance of further research for the optimal fixation of the prosthetic mesh in hernia repair.