Evolution and research progress of mesh fixation in laparoscopic trans-abdominal preperitoneal hernia repair
10.3760/cma.j.cn115396-20220301-00066
- VernacularTitle:腹腔镜经腹膜前疝修补术中补片固定方式的演进及研究进展
- Author:
Weirong JIANG
1
;
Kun YU
;
Yunfeng LI
;
Binjie SUN
;
Yongjiang YU
Author Information
1. 兰州大学第一临床医学院，兰州 730000
- Keywords:
Laparoscopes;
Hernia, Inguinal;
Mesh;
Fixation
- From:
International Journal of Surgery
2022;49(4):267-272
- CountryChina
- Language:Chinese
-
Abstract:
Since the development of tension-free hernia repair, the choice of mesh type and fixation mode has become a problem that surgeons must consider in operation. The selection of appropriate mesh fixation mode is of great significance to the prognosis of patients. In recent years, with the development of laparoscopic technology and hernia repair materials, new mesh types and mesh fixation techniques have been popularized in clinical practice, tack fixation and suture fixation have been less used in trans-abdominal preperitoneal hernia repair, and medical glue and self-gripping mesh have become the mainstream choice. Some scholars believe that in addition to large direct hernia, vacuum suction fixation is also a safe and effective fixation method. The best method of mesh fixation is still controversial, and the choice of intraoperative fixation methods is also to reach a unified standard. This paper reviews the advantages and disadvantages of different mesh fixation methods in trans-abdominal preperitoneal hernia repair, as well as the selection of intraoperative fixation methods, in order to provide basis for clinicians' intraoperative selection.
