Non-fixation Versus Fixation of Mesh in Totally Extraperitoneal Repair of Inguinal Hernia: a Comparative Study

Assess results of small ventral hernia (UH, PUH) and diastasis recti repair during H shape mesh hernioplasty and Tummy Tuck "abdominoplasty" regarding operative duration, intraoperative blood loss, length of hospital stay, length time return to work and post-operative complications. The present prospective study included 60 patients with UH, PUH hernia and diastasis recti. A mean Age of 50.77 ± 9.504 years. 30 patients underwent H shape mesh hernioplasty Group 'A' and 30 underwent standard Tummy Tuck "abdominoplasty" Group 'B'. From 2019 to 2020. And the patients followed for 8_14 months. In group 'A' the main operative time 45.17 ± 3.592 min, main intraoperative blood loss 75ml, insert SC drain in 93% removed after mainly 1.2 day, main postoperative pain 2.9 ± 0.923, length of hospital stay 1.07 ± 0.365 days and main time till return to work 7.33 ± 1.373 days. Post-operative Complications included seroma formation (3.3%), hematoma (6.7%), wound infection (6.7%), recurrence (3.3%) to date and 100% of patient was satisfied. In group 'B' the main operative time 88.5 ± 8.823 min, main intraoperative blood loss 250 ml, insert SC drain in 100% removed after mainly 14.93 ± 2.42 day, main postoperative pain 5.4 ± 0.648, length of hospital stay 3.4 ± 1.221 days and main time till return to work 23.1 ± 3.872 days. Post-operative Complications included seroma formation (20%), hematoma (10%), wound infection (6.7%), recurrent hernia (3.3%) and divarication recurrence (10%) to date and 63% of patient was satisfied. H shape mesh repair technique was safe, easy, fast and early return to work and superior to tummy tuck technique in small PUH with diastasis recti repair at less operative (time, blood loss) and less Post-operative (pain, infection, hematoma, seroma, hospital stay and return to work).

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“…The median time till returns to work reported (group A) was 7.33 days agree with Kumar et al [19] study, Disagree with Liem et al [20] study.…”

Section: Study)supporting

confidence: 84%

Comparative Study between H Shape Mesh Repair and Standard Tummy Tuck Procedure in Small Paraumblical Hernia with Diastasis of the Rectus Muscles

Ezzat¹,

Saleh²,

Latif³

et al. 2020

Benha Journal of Applied Sciences

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“…Laparoscopic inguinal and femoral hernia repair can be safely performed. Laparoscopic approaches were first used in 1992 to treat inguinal hernias [3]. Transabdominal preperitoneal and total extraperitoneal methods have been established as the current laparoscopic approaches for hernia repair.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the Reliability, Utility, and Quality of Information Used in Total Extraperitoneal Procedure for Inguinal Hernia Repair Videos Shared on WebSurg

Kartal

Kebudi

2019

Cureus

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The Internet is widely used by patients and physicians for obtaining medical information. WebSurg is a valuable information resource that can improve the learning experience of medical professionals if used appropriately. This study aimed to evaluate the quality and accuracy of videos on the total extraperitoneal procedure (TEP) for inguinal hernia repair. Methods We included 32 videos returned by the WebSurg search engine in response to the keyword "TEP." Video popularity was evaluated using the video power index (VPI). The videos' educational quality was measured using the DISCERN score, Journal of American Medical Association (JAMA) benchmark criteria, and Global Quality Score (GQS). Technical quality was measured using the TEP Scoring System (TepSS) by three surgeons who performed TEP routinely.

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“…The mesh non-fixation is supposed to be the safest and least traumatic, but there have been multiple reports about the high mobility of the mesh, its low tensile strength, and elevated risk of recurrence if remained unfixed (5).…”

Section: Introduction Introductionmentioning

confidence: 99%

Use of Tissue Adhesive Versus Staples for Mesh Fixation in Laparoscopic TAPP Inguinal Hernioplasty

Shetiwy¹,

Fareed²,

Basheer³

et al. 2022

SGO

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Background: There is a remaining high debate, about mesh fixation involved in laparoscopic inguinal hernia repair (LIHR) that is largely influenced by the individual preferences of each surgeon. In this research study, a comparison is done between mesh fixation in laparoscopic transabdominal preperitoneal (TAPP) using either staples or tissue adhesive (Amcrylate). Methods: This was a prospective randomized controlled study that was applied to 100 patients having an inguinal hernia. Patients included were randomly sorted into two groups based on the closed envelope method; Group I, involved 50 patients previously subjected to laparoscopic TAPP, and tissue adhesive was used for mesh fixation, and GroupII, involved 50 patients subjected to laparoscopic TAPP, and tackers were used for fixation of mesh. Results: We found a difference of statistical significance among the studied groups regarding the assessed VAS score on the 1 st day (P=0.018), 10 th day (P<0.001), and 30 th days (P<0.001), post-operative with a difference that is not statistically significant pre-operative. The statistically analyzed difference among the studied groups was not significant regarding Carolina's Comfort Scale after 6 months, Sensation of mesh, limitation of movement, recurrence, and complications. Conclusion: Mesh fixation using tissue adhesive is preferable to staples because of its association with less post-surgery accompanied pain, earlier return to work, no increase in prompt recurrence rates and complications, better chronic pain experience, and comparable life quality.

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Non-fixation Versus Fixation of Mesh in Totally Extraperitoneal Repair of Inguinal Hernia: a Comparative Study

Cited by 10 publications

References 14 publications

Comparative Study between H Shape Mesh Repair and Standard Tummy Tuck Procedure in Small Paraumblical Hernia with Diastasis of the Rectus Muscles

Comparative Study between H Shape Mesh Repair and Standard Tummy Tuck Procedure in Small Paraumblical Hernia with Diastasis of the Rectus Muscles

Evaluation of the Reliability, Utility, and Quality of Information Used in Total Extraperitoneal Procedure for Inguinal Hernia Repair Videos Shared on WebSurg

Use of Tissue Adhesive Versus Staples for Mesh Fixation in Laparoscopic TAPP Inguinal Hernioplasty

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