Springer Nature is making SARS-CoV-2 and COVID-19 research free. View research | View latest news | Sign up for updates

Fixation techniques in inguinal hernia repair, what is really new?

This is a preview of subscription content, log in to check access.


  1. 1.

    Öberg S, Andresen K, Klausen TW, Rosenberg J (2018) Chronic pain after mesh versus nonmesh repair of inguinal hernias: a systematic review and a network meta-analysis of randomized controlled trials. Surgery 163(5):1151–1159. https://doi.org/10.1016/j.surg.2017.12.017(Epub 2018 Mar 13. Review. PubMed PMID: 29506882)

  2. 2.

    Amid PK (2004) Lichtenstein tension-free hernioplasty: its inception, evolution, and principles. Hernia 8(1):1–7 (Epub 2003 Sep 20. PubMed PMID: 14505236)

  3. 3.

    Campanelli G, Pascual MH, Hoeferlin A, Rosenberg J, Champault G, Kingsnorth A, Miserez M (2012) Randomized, controlled, blinded trial of Tisseel/Tissucol for mesh fixation in patients undergoing Lichtenstein technique for primary inguinal hernia repair: results of the TIMELI trial. Ann Surg 255(4):650–657. https://doi.org/10.1097/SLA.0b013e31824b32bf(PubMed PMID: 22395092)

  4. 4.

    Campanelli G, Pascual MH, Hoeferlin A, Rosenberg J, Champault G, Kingsnorth A, Bagot d'Arc M, Miserez M (2014) Post-operative benefits of Tisseel(®)/Tissucol (®) for mesh fixation in patients undergoing Lichtenstein inguinal hernia repair: secondary results from the TIMELI trial. Hernia 18(5):751–760. https://doi.org/10.1007/s10029-014-1263-3(Epub 2014 Jun 3. PubMed PMID: 24889273; PubMed Central PMCID: PMC4177565)

  5. 5.

    Rönkä K, Vironen J, Kössi J, Hulmi T, Silvasti S, Hakala T, Ilves I, Song I, Hertsi M, Juvonen P, Paajanen H (2015) Randomized multicenter trial comparing GlueFixation, self-gripping mesh, and suture fixation of Mesh in Lichtenstein hernia repair (FinnMesh Study). Ann Surg 262(5):714–719. https://doi.org/10.1097/SLA.0000000000001458(discussion 719–20. PubMed PMID: 26583657)

  6. 6.

    Matikainen M, Kössi J, Silvasti S, Hulmi T, Paajanen H (2017) Randomized clinical trial comparing cyanoacrylate glue versus suture fixation in Lichtenstein hernia repair: 7-year outcome analysis. World J Surg 41(1):108–113. https://doi.org/10.1007/s00268-016-3801-x(PubMed PMID: 27864616)

  7. 7.

    Matikainen M, Aro E, Vironen J, Kössi J, Hulmi T, Silvasti S, Ilves I, Hertsi M, Mustonen K, Paajanen H (2018) Factors predicting chronic pain after open inguinal hernia repair: a regression analysis of randomized trial comparing three different meshes with three fixation methods (FinnMesh Study). Hernia 22(5):813–818. https://doi.org/10.1007/s10029-018-1772-6(Epub 2018 May 4. Erratum in: Hernia. 2018 Jun 6;: PubMed PMID: 29728882)

  8. 8.

    Arregui ME, Davis CJ, Yucel O, Nagan RF (1992) Laparoscopic mesh repair of inguinal hernia using a preperitoneal approach: a preliminary report. Surg Laparosc Endosc 2(1):53–58 (PubMed PMID: 1341501)

  9. 9.

    Claus CMP, Rocha GM, Campos ACL, Paulin JAN, Coelho JCU (2017) Mesh displacement after bilateral inguinal hernia repair with no fixation. JSLS 21(3):pii: e2017.0033. https://doi.org/10.4293/JSLS.2017.00033(PubMed PMID: 28904521; PubMed Central PMCID: PMC5592431)

  10. 10.

    Kumar A, Kaistha S, Gangavatiker R (2018) Non-fixation versus fixation of mesh in totally extraperitoneal repair of inguinal hernia: a comparative study. Indian J Surg 80(2):128–133. https://doi.org/10.1007/s12262-018-1730-7(Epub 2018 Feb 7. PubMed PMID: 29915478; PubMed Central PMCID: PMC5991014)

  11. 11.

    Fortelny RH, Schwab R, Glaser KS, Puchner KU, May C, König F, Redl H, Petter-Puchner AH (2008) The assessment of quality of life in a trial on lightweight mesh fixation with fibrin sealant in transabdominal preperitoneal hernia repair. Hernia 12(5):499–505

  12. 12.

    Gutlic N, Rogmark P, Nordin P, Petersson U, Montgomery A (2016) Impact of mesh fixation on chronic pain in total extraperitoneal inguinal hernia repair (TEP): a nationwide register-based study. Ann Surg 263(6):1199–1206. https://doi.org/10.1097/SLA.0000000000001306(PubMed PMID: 26135697)

  13. 13.

    Ismail M, Garg P (2009) Laparoscopic inguinal total extraperitoneal hernia repair under spinal anesthesia without mesh fixation in 1,220 hernia repairs. Hernia 13(2):115–119. https://doi.org/10.1007/s10029-008-0442-5(Epub 2008 Nov 13. PubMed PMID: 19005613)

  14. 14.

    Mayer F, Niebuhr H, Lechner M, Dinnewitzer A, Köhler G, Hukauf M, Fortelny RH, Bittner R, Köckerling F (2016) When is mesh fixation in TAPP-repair of primary inguinal hernia repair necessary? The register-based analysis of 11,230 cases. Surg Endosc 30(10):4363–4371. https://doi.org/10.1007/s00464-016-4754-8(Epub 2016 Feb 17. PubMed PMID: 26886454; PubMed Central PMCID: PMC5009149)

  15. 15.

    Reinpold W, Schroeder AD, Schroeder M, Berger C, Rohr M, Wehrenberg U (2015) Retroperitoneal anatomy of the iliohypogastric, ilioinguinal, genitofemoral, and lateral femoral cutaneous nerve: consequences for prevention and treatment of chronic inguinodynia. Hernia 19(4):539–548 (Zentralbl Chir. 1996;121(4):313–9)

  16. 16.

    Bittner R (2017) Evidence-based TAPP technique. Chirurg 88(4):281–287. https://doi.org/10.1007/s00104-017-0387-2(German. PubMed PMID: 28303285)

  17. 17.

    Köckerling F (2017) Evidence-based TEP technique. Chirurg 88(4):288–295. https://doi.org/10.1007/s00104-016-0360-5(German. PubMed PMID: 28091694)

  18. 18.

    HerniaSurge Group (2018) International guidelines for groin hernia management. Hernia 22(1):1–165. https://doi.org/10.1007/s10029-017-1668-x(Epub 2018 Jan 12. PubMed PMID: 29330835; PubMed Central PMCID: PMC5809582)

  19. 19.

    Langrehr JM, Schmidt SC, Neuhaus P (2005) Initial experience with the use of fibrin sealant for the fixation of the prosthetic mesh in laparoscopic transabdominal preperitoneal hernia repair. Rozhl Chir 84(8):399–402 (PubMed PMID: 16218348)

  20. 20.

    Katkhouda N, Mavor E, Friedlander MH, Mason RJ, Kiyabu M, Grant SW, Achanta K, Kirkman EL, Narayanan K, Essani R (2001) Use of fibrin sealant for prosthetic mesh fixation in laparoscopic extraperitoneal inguinal hernia repair. Ann Surg 233(1):18–25

  21. 21.

    Kukleta JF, Freytag C, Weber M (2012) Efficiency and safety of mesh fixation in laparoscopic inguinal hernia repair using n-butyl cyanoacrylate: long-term biocompatibility in over 1300 mesh fixations. Hernia 16(2):153–162

  22. 22.

    Birk D, Pardo CG (2012) Self-gripping Parietene and Parietex ProGrip mesh laparoscopic hernia repair: have we found the ideal implant? Surg Technol Int 22:93–100 (PubMed PMID: 23292669)

  23. 23.

    Bresnahan E, Bates A, Wu A, Reiner M, Jacob B (2015) The use of self-gripping (Progrip™) mesh during laparoscopic total extraperitoneal (TEP) inguinal hernia repair: a prospective feasibility and long-term outcomes study. Surg Endosc 29(9):2690–2696. https://doi.org/10.1007/s00464-014-3991-y(PubMed PMID: 25519425)

Download references

Author information

Correspondence to R. H. Fortelny.

Ethics declarations

Conflict of interest

The author declares no conflict of interest.

Ethical approval

Approval from institutional board was not required for this communication.

Human and animal rights

This article does not contain any studies with human participants or animals.

Informed consent

For this retrospective review, formal consent is not required.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Fortelny, R.H. Fixation techniques in inguinal hernia repair, what is really new?. Hernia 24, 209–211 (2020). https://doi.org/10.1007/s10029-019-02052-1

Download citation