SELF GRIPPING MESH IN LAPAROSCOPIC TRANSABDOMINAL PREPERITONEAL MESH REPAIR (TAPP): EFFICACY AND OUTCOME
Main Article Content
Keywords
Inguinal hernia, Transabdominal preperitoneal, Mesh, Chronic pain, Endoscopic repairs
Abstract
Background: Inguinal hernia is a prevalent condition worldwide, with an incidence of 10-15%. Among groin hernias, approximately 75% are inguinal hernias. Recent advancements in laparoscopic techniques, especially endoscopic repairs, have demonstrated improved quality of life, shorter hospital stays, and quicker recovery times. The development of self-gripping mesh has enabled sutureless mesh fixation, aiming to minimize chronic postoperative pain and reduce operative time.
Objective: This study evaluates the efficacy and surgical outcomes of self-gripping mesh in laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair at a tertiary care hospital.
Materials and Methods: In the present study, a total of 70 patients were included who were presented with inguinal swelling and fit for surgery. Observational parameters included operative duration, postoperative pain, wound complications, and recurrence. We performed follow-up assessments on postoperative day 1, day 7, at 1 month, and at 6 months.
Results: According to the present study finding, around 84% of patients reported being pain-free by 7 days, and by 1 month, nearly all patients (100%) were free from pain. The mean operative time was 32.5± 8.5 minutes. The use of self-gripping mesh significantly reduced the time required for mesh fixation compared to conventional suture techniques.
Conclusion: The present study highlighted that, self-gripping mesh is a safe, efficient, and effective option for laparoscopic TAPP inguinal hernia repair. It offers several advantages, including reduced postoperative chronic pain, enhanced general health, improved quality of life, and lower costs associated with fixation devices and pain management. Furthermore, it minimizes the use of tackers, glue, or sutures, contributing to a simpler and faster surgical procedure.
Objective: This study evaluates the efficacy and surgical outcomes of self-gripping mesh in laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair at a tertiary care hospital.
Materials and Methods: In the present study, a total of 70 patients were included who were presented with inguinal swelling and fit for surgery. Observational parameters included operative duration, postoperative pain, wound complications, and recurrence. We performed follow-up assessments on postoperative day 1, day 7, at 1 month, and at 6 months.
Results: According to the present study finding, around 84% of patients reported being pain-free by 7 days, and by 1 month, nearly all patients (100%) were free from pain. The mean operative time was 32.5± 8.5 minutes. The use of self-gripping mesh significantly reduced the time required for mesh fixation compared to conventional suture techniques.
Conclusion: The present study highlighted that, self-gripping mesh is a safe, efficient, and effective option for laparoscopic TAPP inguinal hernia repair. It offers several advantages, including reduced postoperative chronic pain, enhanced general health, improved quality of life, and lower costs associated with fixation devices and pain management. Furthermore, it minimizes the use of tackers, glue, or sutures, contributing to a simpler and faster surgical procedure.
References
1. Primatesta P, Goldacre MJ. Inguinal hernia repair: Incidence of elective and emergency surgery, readmission and mortality. Int. J Epidemiol. 1996; 25:835-9.
2. Patino JF. A history of the treatment of hernia. In Nyhus LM, Condon RE, eds. Hernia 4th ed, Philadelphia: JB
3. Lippincott, Schumpelick V, Zimmer M. Atlas of hernia surgery (eds) (1990). Decker, New York, 1995, 3-15.
4. Lau WY. History of treatment of groin hernia. World J Surg. 2002; 26(6):748-59.
5. Agresta F, Torchiaro M, Tordin C. Laparoscopic transabdominal inguinal hernia repair in community hospital settings: A general surgeon’s last 10 years experience. Hernia 2014;18:745-50.
6. Simons MP, Aufenacker T, Bay-Nielsen M, Bouillot JL, Campanelli G, Conze J, et al. European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia 2009;13:343-403.
7. Demetrashvilli Z, Querqadze V, Kamkamidze G, Topchishvili G, Lagvilava L, Chartholani T, et al. Comparison of Lichtenstein and laparoscopic transabdominal preperitoneal repair of recurrent inguinal hernias. Int Surg 2011;96:233-8.
8. Li J, Ji Z, Li Y. Comparison of mesh-plug and Lichtenstein for inguinal hernia repair: A meta-analysis of randomized controlled trials. Hernia 2012;16:541-8.
9. Birk D, Hess S, Garcia-Pardo C. Low recurrence rate and low chronic pain associated with inguinal hernia repair by laparoscopic placement of Parietex ProGrip™ mesh: Clinical outcomes of 220 hernias with mean follow-up at 23 months. Hernia 2013;17:313-20.
10. Belyansky I, Tsirline VB, Klima DA, Walters AL, Lincourt AE, Heniford TB. Prospective, comparative study of postoperative quality of life in TEP, TAPP, and modified Lichtenstein repairs. Ann Surg 2011; 254:709–714.
11. Novik B, Hagedorn S, Mörk UB, Dahlin K, Skullman S, Dalenbäck J. Fibrin glue for securing the mesh in laparoscopic totally extraperitoneal inguinal hernia repair: a study with a 40-month prospective follow-up period. Surg Endosc 2006; 20:462–467.
12. Taylor C, Layani L, Liew V, Ghusn M, Crampton N, White S. Laparoscopic inguinal hernia repair without mesh fixation, early results of a large randomised clinical trial. Surg Endosc 2008; 22:757–762.
13. Dynamic implant for inguinal hernia repair in porcine experimental model. A feasibility study. Hernia 2009; 13: S1-332.
14. Ferrarese A, Bindi M, Rivelli M, Solej M, Enrico S, Martino V. Self-gripping mesh versus fibrin glue fixation in laparoscopic inguinal hernia repair: a randomized prospective clinical trial in young and elderly patients. Open Med (Wars). 2016 Nov 26;11(1):497-508.
15. Doden K, Yoshimura T, Iwaki Y, Kato H, Kawaguchi M, Watanabe T. Laparoscopic transabdominal preperitoneal obturator hernioplasty with self-gripping mesh: A case report with operative video. International Journal of Surgery Case Reports.2021;89106657
16. Kirov KG, Mihaylov DM, Arnaudov SS. Is the self-adhesive mesh a solution for chronic postoperative inguinal pain after TAPP: A single centre preliminary experience? J Minim Access Surg. 2024 Apr 1;20(2):216-221
17. Sankar T, Ahmad S, C S, Ananthasayanam JR. Assessment of Clinical Outcomes of Sutured Versus Sutureless Self-Gripping Polyester Mesh in Patients With Uncomplicated Indirect Inguinal Hernia in a Tertiary Care Hospital. Cureus. 2024 Aug 14;16(8):e66896.
2. Patino JF. A history of the treatment of hernia. In Nyhus LM, Condon RE, eds. Hernia 4th ed, Philadelphia: JB
3. Lippincott, Schumpelick V, Zimmer M. Atlas of hernia surgery (eds) (1990). Decker, New York, 1995, 3-15.
4. Lau WY. History of treatment of groin hernia. World J Surg. 2002; 26(6):748-59.
5. Agresta F, Torchiaro M, Tordin C. Laparoscopic transabdominal inguinal hernia repair in community hospital settings: A general surgeon’s last 10 years experience. Hernia 2014;18:745-50.
6. Simons MP, Aufenacker T, Bay-Nielsen M, Bouillot JL, Campanelli G, Conze J, et al. European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia 2009;13:343-403.
7. Demetrashvilli Z, Querqadze V, Kamkamidze G, Topchishvili G, Lagvilava L, Chartholani T, et al. Comparison of Lichtenstein and laparoscopic transabdominal preperitoneal repair of recurrent inguinal hernias. Int Surg 2011;96:233-8.
8. Li J, Ji Z, Li Y. Comparison of mesh-plug and Lichtenstein for inguinal hernia repair: A meta-analysis of randomized controlled trials. Hernia 2012;16:541-8.
9. Birk D, Hess S, Garcia-Pardo C. Low recurrence rate and low chronic pain associated with inguinal hernia repair by laparoscopic placement of Parietex ProGrip™ mesh: Clinical outcomes of 220 hernias with mean follow-up at 23 months. Hernia 2013;17:313-20.
10. Belyansky I, Tsirline VB, Klima DA, Walters AL, Lincourt AE, Heniford TB. Prospective, comparative study of postoperative quality of life in TEP, TAPP, and modified Lichtenstein repairs. Ann Surg 2011; 254:709–714.
11. Novik B, Hagedorn S, Mörk UB, Dahlin K, Skullman S, Dalenbäck J. Fibrin glue for securing the mesh in laparoscopic totally extraperitoneal inguinal hernia repair: a study with a 40-month prospective follow-up period. Surg Endosc 2006; 20:462–467.
12. Taylor C, Layani L, Liew V, Ghusn M, Crampton N, White S. Laparoscopic inguinal hernia repair without mesh fixation, early results of a large randomised clinical trial. Surg Endosc 2008; 22:757–762.
13. Dynamic implant for inguinal hernia repair in porcine experimental model. A feasibility study. Hernia 2009; 13: S1-332.
14. Ferrarese A, Bindi M, Rivelli M, Solej M, Enrico S, Martino V. Self-gripping mesh versus fibrin glue fixation in laparoscopic inguinal hernia repair: a randomized prospective clinical trial in young and elderly patients. Open Med (Wars). 2016 Nov 26;11(1):497-508.
15. Doden K, Yoshimura T, Iwaki Y, Kato H, Kawaguchi M, Watanabe T. Laparoscopic transabdominal preperitoneal obturator hernioplasty with self-gripping mesh: A case report with operative video. International Journal of Surgery Case Reports.2021;89106657
16. Kirov KG, Mihaylov DM, Arnaudov SS. Is the self-adhesive mesh a solution for chronic postoperative inguinal pain after TAPP: A single centre preliminary experience? J Minim Access Surg. 2024 Apr 1;20(2):216-221
17. Sankar T, Ahmad S, C S, Ananthasayanam JR. Assessment of Clinical Outcomes of Sutured Versus Sutureless Self-Gripping Polyester Mesh in Patients With Uncomplicated Indirect Inguinal Hernia in a Tertiary Care Hospital. Cureus. 2024 Aug 14;16(8):e66896.
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Published
Dec 13, 2024
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How to Cite
Dr. Ashish Dagwar, Dr. Rajendra Anantprasad Ganeriwal, & Dr. Milind Bhojram Lanjewar. (2024). SELF GRIPPING MESH IN LAPAROSCOPIC TRANSABDOMINAL PREPERITONEAL MESH REPAIR (TAPP): EFFICACY AND OUTCOME. Journal of Population Therapeutics and Clinical Pharmacology, 31(11), 3502-3508. https://doi.org/10.53555/n3qha220
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Author Biographies
Dr. Ashish Dagwar
Associate Professor at Dept. of General Surgery, Dr Rajendra Gode Medical College, Amravati and Consultant at Galaxy Surgical & Laparoscopy Hospital, Amravati,
Dr. Rajendra Anantprasad Ganeriwal
Assistant Professor at Dept. of General Surgery, Dr Rajendra Gode Medical College Amravati,
Dr. Milind Bhojram Lanjewar
3Junior Resident at Dept. of General Surgery, Dr. Panjabrao Alias Bhausaheb Deshmukh Memorial Medical College, Amravati
How to Cite
Dr. Ashish Dagwar, Dr. Rajendra Anantprasad Ganeriwal, & Dr. Milind Bhojram Lanjewar. (2024). SELF GRIPPING MESH IN LAPAROSCOPIC TRANSABDOMINAL PREPERITONEAL MESH REPAIR (TAPP): EFFICACY AND OUTCOME. Journal of Population Therapeutics and Clinical Pharmacology, 31(11), 3502-3508. https://doi.org/10.53555/n3qha220