Self-gripping mesh versus staple fixation in laparoscopic inguinal hernia repair: a prospective comparison

Abstract

The study population was not large enough to obtain statistically significant results. However, the use of SGM for TAPP repairs appeared to give good results in terms of chronic pain, and the incidence of recurrences was not higher than with ST. In our unit, SGM during TAPP repair of inguinal hernias has become the standard.

Titanium hypersensitivity causing painful intra‐abdominal oedema after staple‐fixed inguinal hernia repair

“…The low reliability of patch testing with Ti may be attributable to inconsistent validity of patch test reagents, low epidermal penetration of Ti, or the disappearance of Ti hyperreactivity after removal of the causative agent . We recommend that, in patients with a positive history of previous intolerance to Ti products, alternative surgical procedures should be considered, for example, the use of self‐gripping meshes …”

Laparoscopic Versus Open Inguinal Hernia Repair

“…77,[81][82][83] Self-adhesive meshes specially designed for laparoscopic use are appearing on the market and have shown promising results in terms of reducing pain without changing recurrence patterns. 84,85 …”

Laparoscopic Inguinal Hernia Repair With a Novel Hernia Mesh Incorporating a Nitinol Alloy Frame Compared With a Standard Lightweight Polypropylene Mesh

“…Similar to our study results, other studies comparing inguinal hernia repair without fixation to repairs with tacks demonstrated no differences in recurrence or pain. 17 Tack fixation is often purported to reduce the likelihood of hernia recurrence by preventing mesh migration. However, in a meta-analysis, 18 there was no difference in hernia recurrence rates or postoperative pain when comparing laparoscopic inguinal hernia repair with and without the adjunctive use of tacks.…”