Estimation of options of the mesh implant fixation in transabdominal preperitoneal alloplasty in patients with inguinal hernia.

Abstract

The frequency of chronic postoperative pain after TAPP surgery is maintained at 4.6-18.7%, and the incidence of inguinal hernia recurrence is 5.3% to 10%. Purpose – estimation of efficiency of different variants of fixation of a mesh implant in TAPP in patients with inguinal hernia. Various variants of fixation of a mesh implant with TAPP in 240 patients with inguinal hernia have been analyzed. Immediate results: pronounced postoperative pain was observed in 6 (7.5%) patients in group І, in 1 (1.25%) patients in group ІІ, in group III postoperative pain was absent. Long-term results: chronic post-operative pain was observed in 5 (7.57%) patients in group І, in 2 (3.12%) in group ІІ, in group ІІІ, chronic postoperative persistent pain was not observed. The recurrence of inguinal hernia was in 5 (7.57%) patients of group І, in 1 (1.56%) patient of group II and in 1 (1.53%) patient of group ІІІ. The results of the TAPP operation for the inguinal hernia with different types of fixation of the mesh showed that glue fixation has significant advantages among them.

Keywords

• inguinal hernia
• mesh imalant
• TAPP
• recurrence
• glue fixation
• postoperative pain