Two-point Fixation for Biological Mesh in Laparoscopic Inguinal Hernia Repair | [Journal of College of Physicians and Surgeons--Pakistan : JCPSP • 2022]

Author(s):

1. Guozhong Liu: Department of Hepatopancreatobiliary Surgery, Fujian Abdominal Surgery Research Institute, the First Affiliated Hospital of Fujian Medical University,Fuzhou,China

2. Yiping Chen: Department of Hepatopancreatobiliary Surgery, Fujian Abdominal Surgery Research Institute, the First Affiliated Hospital of Fujian Medical University,Fuzhou,China

3. Yuhai Hu: Department of Hepatopancreatobiliary Surgery, Fujian Abdominal Surgery Research Institute, the First Affiliated Hospital of Fujian Medical University,Fuzhou,China

4. Jianbin Zhang: Department of Hepatopancreatobiliary Surgery, Fujian Abdominal Surgery Research Institute, the First Affiliated Hospital of Fujian Medical University,Fuzhou,China

5. Shangeng Weng: Department of Hepatopancreatobiliary Surgery, Fujian Abdominal Surgery Research Institute, the First Affiliated Hospital of Fujian Medical University,Fuzhou,China

Abstract:

Objective: To evaluate the clinical outcomes and safety of two-point xation for biological mesh in laparoscopic totally extraperitoneal (TEP) inguinal hernia repair. Study Design: Case series. Place and Duration of Study: The rst A liated Hospital of Fujian Medical University Hospital, Fuzhou, China, from January to December 2019. Methodology: A total of 38 patients with a primary inguinal hernia who underwent laparoscopic TEP repair with a small intestine submucosal matrix biological mesh were included. A novel two-point xation method was performed at the level of 2 cm above the upper margin of the hernia ring. The mesh was xed at 3 cm medial and lateral to the inferior epigastric artery. The recurrence rate, surgical site infection rate, postoperative chronic pain, hematoma/seroma, and chronic pain were evaluated. Results: There was no conversion to open procedure. The surgical time was 60.0 (range 35 72) min, and the time of mesh xation was 4.00 (range 2.5 6.0) minutes. All patients were discharged on the rst postoperative day and had similar pain scores (VAS score = 1). Hematoma/seroma was detected in only three (7.9%) patients. No infection or recurrence was observed. Conclusion: The two-point xation for biological mesh is reliable and easy to perform. Further study with a larger sample size may be needed to validate it.

Page(s): 1534-1537

DOI: DOI not available

Published: Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 32, Issue: 12, Year: 2022

Keywords:

Inguinal hernia , Laparoscopy , Twopoint xation , Biological mesh , Surgical mesh , Herniorrhaphy

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