Laparoscopically total extraperitoneal inguinal hernia repair: mesh stapling fixation versus no fixation

VernacularTitle:腹腔镜完全腹膜外疝修补中网片固定与免固定对比研究
Author: Siqi OUYANG ; Xiaoyong CAI ; Bangyu LU
Publication Type:Journal Article
Keywords: Hernia,inguinal; Surgical stapling; Laparoscopes; Stapling fixation free
From: Chinese Journal of General Surgery 2010;25(11):889-891
CountryChina
Language:Chinese
Abstract: Objective To assess the safety and effectiveness of laparoscopically total extraperitoneal (TEP) repair using two mesh cross and overlap without stapler technique and to discuss the cause of main complications. Methods In this study 243 cases of inguinal hernia were randomly divided into two groups. One group underwent two meshes cross and overlap no fixation TEP, the other underwent a single mesh stapling fixation TEP. The average postoperative follow-up was ( 28 ± 6 ) months. For comparing the effect of the two approaches, statistical analysis including the χ2 test and Student's t test was carried out where appropriate. A p value of less than 0. 05 was considered statistically significant. Results The recurrence rate for the mesh no fixation group ( 1.9% ) did not increase when compared to mesh fixation group( 2. 9% ) ( P ＞ 0. 05 ). The overall postoperative complication rate or individual complication rate was not significantly different between the two groups. Conclusions Laparoscopically total extraperitonealrepair(TEP) using two mesh cross and overlap no fixation technique is safe and reliable.