The use of self-gripping (Progrip™) mesh during laparoscopic total extraperitoneal (TEP) inguinal hernia repair: a prospective feasibility and long-term outcomes study

Bresnahan, Erin; Bates, Andrew; Wu, Andrew S.; Reiner, Mark A.; Jacob, Brian P.

doi:10.1007/s00464-014-3991-y

Cited by 28 publications

(26 citation statements)

References 18 publications

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“…The difference in postoperative narcotic requirement persisted when controlling for the presence of an epidural catheter. Our findings mirror the body of literature on the use of self-adhering mesh in inguinal hernia repair where this mesh has been shown to result in less acute pain, 15,16 without a clear effect on chronic pain. 17–23 The reduction in acute pain is very important in ensuring patient satisfaction and limiting patient suffering.…”

Section: Discussionsupporting

confidence: 84%

“…Other authors did not observe any recurrences. 15 The equivalent durability between ProGrip and sutured polypropylene mesh in inguinal hernia repairs has been confirmed by multiple randomized controlled trials 17,25–29 and meta-analyses. 18–21 …”

mentioning

confidence: 91%

“…13,14 The use of self-adhering mesh in inguinal hernia repair has been found in some studies to result in lower levels of acute pain in the early postoperative period, 15 leading to faster return to normal activity, 16 although other studies failed to demonstrate a reduction in chronic groin pain. 17–23 Self-adhering mesh has also been found to provide a durable repair in inguinal hernias, providing equivalent hernia recurrence rates to sutured polypropylene mesh.…”

mentioning

confidence: 99%

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Abdominal Wall Reconstruction Using Retrorectus Self-adhering Mesh: A Novel Approach

Khansa

Janis

2016

Plastic and Reconstructive Surgery - Global Open

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Section: Discussionsupporting

confidence: 84%

mentioning

confidence: 91%

mentioning

confidence: 99%

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Abdominal Wall Reconstruction Using Retrorectus Self-adhering Mesh: A Novel Approach

Khansa

Janis

2016

Plastic and Reconstructive Surgery - Global Open

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“…Some prefer the TEP approach, because it avoids violation of the peritoneum, and others have even used self-gripping meshes along with TEP to completely overcome some of the limitations of TAPP. 5 However, regardless of surgical approach, both techniques typically use 3 laparoscopic incisions to accommodate its working ports.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Single-Site Inguinal Hernia Repair Using a Self-Fixating Mesh

Guerrón

Lee

Yoo

et al. 2017

JSLS

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Background and Objectives:Every year ∼20 million inguinal hernia repairs are completed worldwide. Increased patient access to medical information and education has elicited interest in minimally invasive surgical techniques that obtain improved surgical outcomes and cosmesis. Because of these factors, there is a growing interest in single-incision surgery. Laparoscopic totally extraperitoneal (TEP) single-incision hernia repair technique has been reported with different meshes used in a tack fixation system. Recently, self-fixating mesh technology has offered the possibility of avoiding tack fixation and potentially avoiding chronic postoperative pain. Self-fixating mesh technology employs monofilament polylactic acid (PLA) creating a microgrip system that provides self-adherence of the mesh to adjacent tissue. This tack-free fixation system provides coverage over the entire myopectineal orifice and surrounding areas where traditional tacks cannot be placed. Self-fixating mesh has also been safely applied in laparoscopic TEP procedures, but this mesh has not been described in single site TEP surgery; possibly because of the potential difficulty with mesh deployment. We sought to determine the technical feasibility of a single-site laparoscopic TEP repair of inguinal hernias and to discuss our techniques and patient short-term outcomes.Methods:Review of a prospectively maintained database of patients who received single-site laparoscopic TEP herniorrhaphy from August 2012 through August 2015. Patient characteristics and demographics and perioperative and postoperative data were analyzed.Results:Thirty-four patients (aged 55.2 ±14.2; 17.6% women) with a mean body mass index of 26.2 ± 3.9 were analyzed. Mean operative time was 99.5 ± 30.5 minutes, 41.2% were left-side repairs, and 50% were bilateral. Estimated blood loss was 18.4 ± 14.1 mL. Recurrent hernias accounted for 14.7% of cases; 32.4% of cases were combination surgeries, most commonly a concurrent umbilical hernia repair. The most common short-term postoperative complication was urinary retention (4 patients). The median length of follow-up was 25 days (IQR 18.75–61.75). Complications occurring at >30 days included hydrocele (2 patients) and stitch abscess (1 patient). Eight (23.5%) patients had complications (surgical or during follow-up). No recurrences or deaths were reported.Conclusions:With comparable operative times, perioperative outcomes, and safety profile, SS-TEP appears to be a safe and effective surgical approach for the management of inguinal hernias in the short term. Furthermore, SS-TEP with a self-fixating mesh is a feasible approach.

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“…Los estudios en hernioplastias abiertas que han utilizado estas mallas «autoadhesivas» evidenciaron un ahorro en el tiempo quirúrgico, pero, contrariamente a lo esperado, no se documentó una disminución significativa en el dolor posoperatorio [40][41][42][43] . Las series en hernioplastias laparoscópicas y endoscópicas son aún muy tempranas y cuentan con un número pequeño de pacientes.…”

Section: Tabla 6 -Retorno a La Actividad Habitualunclassified

Hernioplastias inguinales por vía laparoscópica. Experiencia inicial en 324 casos

Barrios

Elles

Espitia

et al. 2016

Revista Hispanoamericana de Hernia

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The use of self-gripping (Progrip™) mesh during laparoscopic total extraperitoneal (TEP) inguinal hernia repair: a prospective feasibility and long-term outcomes study

Abstract: Self-gripping mesh can be safely used during laparoscopic TEP inguinal hernia repairs; our cohort had a rapid recovery, and at the 1-year follow-up visit, there were no recurrences and no patients reported any chronic pain as defined by a CCS™ > 1.

Cited by 28 publications

References 18 publications

Abdominal Wall Reconstruction Using Retrorectus Self-adhering Mesh: A Novel Approach

Abdominal Wall Reconstruction Using Retrorectus Self-adhering Mesh: A Novel Approach

Laparoscopic Single-Site Inguinal Hernia Repair Using a Self-Fixating Mesh

Hernioplastias inguinales por vía laparoscópica. Experiencia inicial en 324 casos

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