Tack fixation versus nonfixation of mesh in laparoscopic transabdominal preperitonaeal hernia repair

Darwish, Ahmed A.; Hegab, Ashraf

doi:10.4103/1110-1121.194729

Cited by 10 publications

(8 citation statements)

References 2 publications

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“…The study observed 0% recurrence among fixation group where as among non fixation group the recurrence rate was 3.3% within one year follow up period though the differences among the group was not significant. 8 Yet another study, no recurrence of hernia was observed among both the groups. 6,12 It was not the intention of the present study to investigate the long-term recurrence rate of TEP.…”

Section: : Comparison Of Average Pain Scores (By Vas Score) In Differmentioning

confidence: 85%

“…The study found mesh non fixation reduces the incidence of postoperative pain and chronic pain in patients undergoing TAPP repair. 8 In another randomized clinical trial study of fixation vs non fixation of mesh in Total Extraperitoneal Inguinal Hernioplasty conducted in Spain for a period of January 1999 to December 2001 among 170 patients. The study observed the pain score among non-fixation group was 1.65 ± 1.3 and 0.14 ± 1.7 in post-operative 24 hours and 1 month respectively whereas among the fixation group it was 1.78 ± 1.4 and 0.16 ± 0.6 in post-operative 24 hours and 1 month though there was no significant difference among the group.…”

Section: Discussionmentioning

confidence: 99%

“…7 In yet another prospective controlled, two patients (6.7%) developed seroma among patients undergone fixation though it was non-significant. 8 In another randomized prospective cohort study, of 274 patients only 19 inguinal seromas (6.1%) were identified at 2 weeks, only 7 (1.9%) remained at 1 month, and none at 1 year among fixation group though the findings were insignificant. 10 In our study the average duration of post-operative hospital stay among the patients in the fixation group was 3.63 days when compared to non-fixation group which was 2.93 days, and the study observed statistically significant difference between the two groups.…”

Section: : Comparison Of Average Pain Scores (By Vas Score) In Differmentioning

confidence: 92%

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To compare advantage of non-fixation versus fixation of mesh in Laparoscopic totally Extra Peritoneal (TEP) repair of inguinal hernias

Gangopadhyay

Ghosh

2018

Asian J Med Sci

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Background: Mesh fixation during laparoscopic totally extra peritoneal repair is thought to be necessary to prevent recurrence of infections and post-operative complications. However, mesh fixation might increase the postoperative complications and chronic pain. This study was to describe the experience of a single surgeon at R.G. Kar Medical College and Hospital performing this operation. This study evaluates the outcomes of laparoscopic hernioplasty performed with and without mesh fixation at our institution.Aims and Objective: To compare advantage of non-fixation versus fixation of mesh in laparoscopic Totally Extra peritoneal (TEP) repair of inguinal hernias. This study was conducted for analysis of outcome with respect to pain, operative time, intra and postoperative complication, days of hospital stay, recurrence regarding the procedure between fixation and non-fixation of mesh in totally extra peritoneal repair of inguinal hernia.Materials and Methods: The study was conducted in the Department of Surgery, R.G.Kar Medical College and Hospital from January 2011 to April 2012. All patients admitted in General surgical unit presenting with uncomplicated unilateral inguinal hernias were included. A total of 60 patients were included in the study, of which 30 patients underwent TEP repair without fixation of mesh and for remaining 30 patients the mesh was fixed using metallic tacks.Results: Difference in average pain score at 24 hrs, 72 hrs, 1 month and 6 months was significant statistically (p =0.003, p = 0.003, p< 0.001 and p=0.001 respectively) when compared in both groups. There was no recurrence in the study period in either of the groups. The duration of operative time and days of hospital stay was higher in fixation group and was statistically significant.Conclusion: Mesh fixation appears to be disadvantageous in TEP repair of inguinal hernias compared to non- fixation of mesh as it is associated with higher operative time, higher postoperative complication and an increased likelihood of developing chronic groin pain. The omission of mesh fixation did not increase the risk of early hernia recurrence.Asian Journal of Medical Sciences Vol.9(4) 2018 35-40

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Section: : Comparison Of Average Pain Scores (By Vas Score) In Differmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Section: : Comparison Of Average Pain Scores (By Vas Score) In Differmentioning

confidence: 92%

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To compare advantage of non-fixation versus fixation of mesh in Laparoscopic totally Extra Peritoneal (TEP) repair of inguinal hernias

Gangopadhyay

Ghosh

2018

Asian J Med Sci

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“…Another prospective randomized controlled study was published from Egypt on 60 patients with the objective of comparing mesh fixation and non-fixation in terms of postoperative pain and recurrence rates following TEP. It showed significant reduction in postoperative pain, chronic groin pain and early return to work in nonfixation group 18 .…”

Section: Discussionmentioning

confidence: 91%

A Randomized Comparative Study of TEP with and without Mesh Fixation Device

Rai

Srivastava

Ansari

2020

Asian Journal of Pharmaceutical Research and Health Care

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This study aims to compare the outcome of Total Extra Peritoneal (TEP) hernia repair procedure with or without using mesh fixation device. A total of 60 patients with clinically diagnosed, non-recurrent, uncomplicated symptomatic inguinal hernias were randomized into two groups: 30 patients to TEP with fixation of mesh and 30 patients to TEP without fixation of mesh. Visual Analogue Scale (VAS) was assessed during the immediate postoperative period at 1, 6, and 24 hrs and at 1 week and at 3 months of follow-up. We analyzed demographic profile, symptoms and examination findings, operative variables, postoperative complications, stay in hospital and cost of treatment. The mean ages were 45.8±13.74 years for the non-mesh fixed group and 55.47±16.74 years for the mesh fixed group. The patients in the mesh fixed group were significantly older than non-fixed group (p=0.017). After 1, 6 and 24 hours of surgery, the mean VAS score was significantly low in non-fixed group (p=0.003, p=0.033 and p=0.047 respectively). After 1 week and 3 months of surgery, the VAS score was comparable in both the groups (p=0.126, p=0.183). The mean duration of surgery in both the groups were comparable (p=0.258). The mean analgesic use in mesh fixed group was 1.42±0.62 and in non-fixed group was 1.18±0.57 which was comparable (p=0.124). Prior to discharge, the mean analgesic use was significantly less in non-fixed group (p=0.003). On comparing complications, urinary retention was significantly less in non-fixed group (p=0.0.028). The mean length of hospital stay and mean time to return to normal activities were significantly less in non-fixed group (p=0.026 and p<0.001 respectively). In non-fixed group, the cost of treatment was significantly low (p<0.001). TEP repair is feasible and safe without mesh fixation device.

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“…La malla se puede colocar sin fijación con marcada reducción en la incidencia del dolor posoperatorio y dolor crónico por lesiones o atrapamientos de algún nervio, sin aumento significativo en tasas de recurrencia. 13 Se piensa que estas lesiones nerviosas son secundarias a la colocación de grapas de manera caudal al tracto iliopúbico y lateral, y externos a los vasos iliacos. La fijación de las grapas fuera del ligamento de Cooper penetra en la fascia transversalis y el músculo transverso del abdomen y aumenta el riesgo de lesión a los nervios ilioinguinal e iliohipogástrico.…”

Section: Discussionunclassified

Tratamiento laparoscópico en atrapamiento del nervio ilioinguinal como causa de dolor agudo incapacitante: Reporte de caso y revisión de la literatura

Méndez¹,

García²,

Terán³

et al. 2020

Revista Mexicana De Cirugía Endoscópica

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Tack fixation versus nonfixation of mesh in laparoscopic transabdominal preperitonaeal hernia repair

Cited by 10 publications

References 2 publications

To compare advantage of non-fixation versus fixation of mesh in Laparoscopic totally Extra Peritoneal (TEP) repair of inguinal hernias

To compare advantage of non-fixation versus fixation of mesh in Laparoscopic totally Extra Peritoneal (TEP) repair of inguinal hernias

A Randomized Comparative Study of TEP with and without Mesh Fixation Device

Tratamiento laparoscópico en atrapamiento del nervio ilioinguinal como causa de dolor agudo incapacitante: Reporte de caso y revisión de la literatura

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