Mesh Encircling Total Extraperitoneal (TEP) Repair of Inguinal Hernia without a Fixation Material or Preformed Mesh: Overlay Closure of Slit Without Additional Mesh.
10.7602/jmis.2015.18.1.14
- Author:
Dong Jin PARK
1
;
Yeong Cheol IM
;
Sung Soo YANG
;
Gyu Yeol KIM
Author Information
1. Department of Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea. imyc0323@gmail.com
- Publication Type:Original Article
- Keywords:
TEP;
Inguinal hernia;
Fixation;
Mesh
- MeSH:
Chronic Pain;
Edema;
Fibrin Tissue Adhesive;
Follow-Up Studies;
Hernia, Inguinal*;
Humans;
Operative Time;
Recurrence;
Sutures
- From:Journal of Minimally Invasive Surgery
2015;18(1):14-18
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: Mesh non-fixation in TEP is associated with lower cost and shorter operative time, and it is safe and recommended when performed by an experienced surgeon. In performance of TEP surgery using a non-fixation mesh, particularly by a non-experienced surgeon, prevention of mesh migration is an important issue for mesh application. The aim of this study was to report on a fixation method using a non-preformed mesh encircling a cord structure without the use of tacks, staples, or fibrin sealants in TEP surgery. METHODS: A total of 41 patients who had undergone mesh-encircling TEP without fixation from December 2008 (first case of surgery) to June 2012 were analyzed. RESULTS: The mean follow-up period was 23.2 months (12~35 months). Three patients complained of scrotal discomfort, and one patient complained of scrotal edema, but they were resolved with conservative management. There was no recurrence during the follow up period. CONCLUSION: The method of mesh-encircling TEP without fixation material and no additional mesh in which the slit of the mesh is wrapped around the cord structure using an overlay suture is a simple and safe technique without compromising recurrence or chronic pain.
