Estimation of options of the mesh implant fixation in transabdominal preperitoneal alloplasty in patients with inguinal hernia.

Authors

DOI:

https://doi.org/10.26641/2307-0404.2019.1.162276

Keywords:

inguinal hernia, mesh imalant, TAPP, recurrence, glue fixation, postoperative pain

Abstract

The frequency of chronic postoperative pain after TAPP surgery is maintained at 4.6-18.7%, and the incidence of inguinal hernia recurrence is 5.3% to 10%. Purpose  – estimation of efficiency of different variants of fixation of a mesh implant in TAPP in patients with inguinal hernia. Various variants of fixation of a mesh implant with TAPP in 240 patients with inguinal hernia have been analyzed. Immediate results: pronounced postoperative pain was observed in 6 (7.5%) patients in group І, in 1 (1.25%) patients in group ІІ, in group III postoperative pain was absent. Long-term results: chronic post-operative pain was observed in 5 (7.57%) patients in group І, in 2 (3.12%) in group ІІ, in group ІІІ, chronic postoperative persistent pain was not observed. The recurrence of inguinal hernia was in 5 (7.57%) patients of group І, in 1 (1.56%) patient of group II and in 1 (1.53%) patient of group ІІІ. The results of the TAPP operation for the inguinal hernia with different types of fixation of the mesh showed that glue fixation has significant advantages among them.

Author Biographies

Ya. Ya. Feleshtinsky

Shupyk National medical academy of postgraduate education
Dorohozhytska str., 9, Kyiv, 04112, Ukraine

A. V. Kohanevich

Shupyk National medical academy of postgraduate education
Dorohozhytska str., 9, Kyiv, 04112, Ukraine

References

Grubnіk VV, Bugrіdze ZD, Vorotintseva KO. [Laparoscopic hernioplasty as a method of choosing sur­gical treatment for recurrent inguinal hernias]. Lvіvskyi medychnyi chasopys. 2009;3:39-42. Ukainian.

Nichitailo ME, Bulik II. [Modern aspects of endo­video surgical treatment of complicated and recurrent in­guinal hernias]. Klinichna hirurgiia. 2010;3:10-16. Russian.

Feleshtinski YaP, Kohanevich AV, Vatama­nyuk VF. inventors; [Optimization of transabdominal preperitoneal aloplasty of inguinal hernias].Ukraine, patent 113997, MPK A61V 17/56 (2006.01). 2017.02.27. Ukainian.

Bansal VK, Misra MC, Babu D, et al. A pros­pective, randomized comparison of long-term outcomes: chronic groin pain and quality of life following totally extraperitoneal (TEP) and transabdominal preperitoneal (TAPP) laparoscopic inguinal hernia repair. Surg Endosc. 2013;27:2373-82. https://doi.org/10.1007/s00464-013-2797-7

Griffin KJ, Harris S, Tang TY, et al. Incidence of contralateral occultinguinal hernia found at the time of laparoscopic transabdominal preperitoneal (TAPP) repair. Hernia. 2010;14:345-349. https://doi.org/10.1007/s10029-010-0651-6

Meyer A, Blanc P, Kassir R, Atger J. Laparo­scopic Hernia: Umbilical Pubis Length Versus Technical Difficulty. JSLS. Journal of the Society of Laparo­endo­scopic Surgeons. 2014;18(3):1-4. https://doi.org/10.4293/JSLS.2014.00078

Alessia Ferrarese, Marco Bindi, Matteo Rivelli, Mario Solej, Stefano Enrico, Valter Martino. Self-grip­ping mesh versus fibrin glue fixation in laparoscopic inguinal hernia repair: a randomized prospective clinical trial in young and elderly patients. Open Med. 2016;11:497-508. https://doi.org/10.1515/med-2016-0087

Fortelny RH, Petter-Puchner AH, May C, et al. The impact of atraumatic fibrin sealant vs. staple mesh fixation in TAPP hernia repair on chronic pain and quality of life: results of a randomized controlled study. Surg Endosc. 2012;26:249-54. https://doi.org/10.1007/s00464-011-1862-3

Nocceti A, Ratto EL, Perata O, et al. Trans­abdo­minal preperitoneal hernioplasty with microlaparoscopy and mesh fixation with biological glue. Hernia. 2011;15:044.

Bradley JF, Williams KB, Wormer BA, et al. Va­lue of glue fixation on long term Quality of Life (QOL) in Laparoscopic Inguinal Hernia Repair LIHR). Hernia. 2013;17:118.

Downloads

Published

2019-04-02

How to Cite

1.
Feleshtinsky YY, Kohanevich AV. Estimation of options of the mesh implant fixation in transabdominal preperitoneal alloplasty in patients with inguinal hernia. Med. perspekt. [Internet]. 2019Apr.2 [cited 2024Nov.13];24(1):46-9. Available from: https://journals.uran.ua/index.php/2307-0404/article/view/162276

Issue

Vol. 24 No. 1 (2019)

Section

CLINICAL MEDICINE

License

Copyright (c) 2019 Medicni perspektivi (Medical perspectives)

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Submitting manuscript to the journal "Medicni perspektivi" the author(s) agree with transferring copyright from the author(s) to publisher (including photos, figures, tables, etc.) editor, reproducing materials of the manuscript in the journal, Internet, translation into other languages, export and import of the issue with the author’s article, spreading without limitation of their period of validity both on the territory of Ukraine and other countries. This and other mutual duties of the author and all co-authors separately and editorial board are secured by written agreement by special form to use the article, the sample of which is presented on the site.

Author signs a written agreement and sends it to Editorial Board simultaneously with submission of the manuscript.