Mesh fixation methods and chronic pain after transabdominal preperitoneal (TAPP) inguinal hernia surgery: a comparison between fibrin sealant and tacks

Abstract

Mesh fixation technique did not affect long-term persistent pain. A large number of patients reported persistent pain regardless of mesh fixation technique, which emphasizes the need for preoperative information. Preoperative pain was a risk factor for persistent pain, whereas male gender was protective.

What are the influencing factors for chronic pain following TAPP inguinal hernia repair: an analysis of 20,004 patients from the Herniamed Registry

“…Unlike the aforementioned meta-analyses, on comparing tack mesh fixation vs. non-fixation Sajid et al [ 15 ] did not find any difference in the chronic pain rates. Likewise, a registry-based Danish study did not find any difference in chronic pain rates after TAPP operation on comparing mesh fixation with fibrin glue vs. tacks [ 24 ]. In our study, the influence of penetrating tacks on chronic pain was only confirmed for pain on exertion on comparing non-fixation vs. tack fixation.…”

“…Another registry-based study from the Danish Hernia Database also found no difference in chronic pain after mesh fixation with fibrin glue vs. tacks in TAPP inguinal hernia repair [ 24 ].…”

Chronic Pain after Laparoscopic Inguinal Hernia Repair Depends on Mesh Implant Features: A Clinical Randomised Trial

“…The use of alloplastic materials has become the standard procedure in inguinal hernia surgery [1][2][3][4][5][6]. Hernia surgery is one of the most common visceral operations and thus of great medical and economic importance.…”

“…Hernia surgery is one of the most common visceral operations and thus of great medical and economic importance. Many publications have shown that there are advantages in the early postoperative outcome and lower recurrence rate when using techniques with mesh implantation compared with mesh-free inguinal hernia repair [1][2][3][4][5][6]. Therefore, inguinal hernia repair with mesh has become the standard in the last 20 years.…”

“…Therefore, inguinal hernia repair with mesh has become the standard in the last 20 years. Open surgery according to Lichtenstein was used most often at the earlier times, whereas minimally invasive techniques have been increasingly applied in the last decade [1][2][3][4][5][6]. Chronic pain is the most frequent long-term complication after inguinal hernia repair.…”