Advertisement

Mesh Technology at Inguinal Hernia Repair

  • Ferdinand Köckerling
  • Dirk Weyhe
  • Rene H. Fortelny
  • Bruce Ramshaw
Chapter

Abstract

In a meta-analysis of Currie et al. [1], eight trials were included in the analysis of 1667 hernias in 1592 patients. Mean study follow-up was between 2 and 60 months. There was no effect on recurrence or chronic pain. Lightweight and heavyweight mesh repair had similar outcomes with regard to postoperative pain, seroma development, and time to return to work.

References

Biocompatibility

  1. 1.
    Currie A, Andrew H, Tonsi A, Hurley PR, Taribagil S. Lightweight versus heavyweight mesh in laparoscopic inguinal hernia repair: a meta-analysis. Surg Endosc. 2012;26:2126–33.  https://doi.org/10.1007/s00464-012-2179-6.CrossRefPubMedGoogle Scholar
  2. 2.
    Sajid MS, Kalra L, Parampalli U, Sains PS, Baig MKA. systematic review and meta-analysis evaluating the effectiveness of lightweight mesh against heavyweight mesh in influencing the incidence of chronic groin pain following laparoscopic inguinal hernia repair. Am J Surg. 2013;205:726–36. 10.1016./j.amjsurg.2012.07.046 CrossRefPubMedGoogle Scholar
  3. 3.
    Miserez M, Peeters E, Aufenacker T, Bouillot JL, Campanelli CJ, Fortelny R, Heikkinen T, Jorgensen LN, Kukleta J, Morales-Conde S, Nordin P, Schumpelick V, Smedberg S, Smietanski M, Weber G, Simons MP. Update with level 1 studies of the European hernia society guidelines on the treatment of inguinal hernia in adult patients. Hernia. 2014;18:151–63.  https://doi.org/10.1007/s10029-014-1236-6.CrossRefPubMedGoogle Scholar
  4. 4.
    Simons MP, Aufenacker T, Bay-Nielsen M, Bouillot JL, Campanelli G, Conze J, de Lange D, Fortelny R, Heikkinen T, Kingsnorth A, Kukleta J, Morales-Conde S, Nordin P, Schumpelick V, Smedberg S, Smietanski M, Weber G, Miserez M. European hernia society guidelines on the treatment of inguinal hernia in adult patients. Hernia. 2009;13:343–403.  https://doi.org/10.1007/s10029-009-0529-7.CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Bittner R, Montgomery MA, Arregui E, Bansal V, Bingener J, Bisgaard T, Buhck H, Dudai M, Ferzli GS, Fitzgibbons RJ, Fortelny RH, Grimes KL, Klinge U, Koeckerling F, Kumar S, Kukleta J, Lomanto D, Misra MC, Morales-Conde S, Reinpold W, Rosenberg J, Singh K, Timoney M, Weyhe D, Chowbey P. Update of guidelines on laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal hernia (internationals Endohernia society). Surg Endosc. 2015;29:289–321.  https://doi.org/10.1007/s00464-014-3917-8.CrossRefPubMedPubMedCentralGoogle Scholar
  6. 6.
    Bittner R, Arregui ME, Bisgaard T, Dudai M, Ferzli GS, Fitzgibbons RL, Fortelny RH, Klinge U, Koeckerling F, Kuhry E, Kukleta J, Lomanto D, Misra MC, Montgomery A, Morales-Conde S, Reinpold W, Rosenberg J, Sauerland S, Schug-Paß C, Singh K, Timoney M, Weyhe D, Chowbey P. Guidelines for laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal hernia [international Endohernia society (IEHS)]. Surg Endosc. 2011;25:2773–843.  https://doi.org/10.1007/s00464-011-1799-6.CrossRefPubMedPubMedCentralGoogle Scholar
  7. 7.
    Poelman MM, van den Heuvel B, Deelder JD, Abis GSA, Beudeker N, Bittner R, Campanelli G, van Dam D, Dwars BJ, Eker HH, Fingerhut A, Khatkov I, Koeckerling F, Kukleta JF, Miserez M, Montgomery A, Munoz Brands RM, Morales Conde S, Muysoms FE, Soltes M, Tromp W, Yavuz Y, Bonjer HJ EAES Consensus development conference on endoscopic repair of groin hernias Surg Endosc. Published online: 25 May 2013.  https://doi.org/10.1007/s00464-013-3001-9
  8. 8.
    Burgmans JPJ, Voorbrood EH, Simmermacher RKJ, Schouten N, Smakman N, Clevers G, Davids PHP, Verleisdonk EMM, Hamaker ME, Lange JF, van Dalen T. Long-term results of a randomized double-blinded prospective trial of a lightweight (ultrapro) versus a heavyweight mesh (prolene) in laparoscopic total extraperitoneal inguinal hernia repair (TULP-trial) annals of surgery. Ann Surg. 2016;263(5):862–6.  https://doi.org/10.1097/SLA:0000000000001579.CrossRefPubMedGoogle Scholar
  9. 9.
    Köckerling F, Alam NN, Narang SK, Daniels IR, Smart NJ. Biological meshes for inguinal hernia repair – review of the literature. Front Surg. 2015;2:48.  https://doi.org/10.3389/fsurg.2015.00048.CrossRefPubMedPubMedCentralGoogle Scholar
  10. 10.
    Tyrell J, Silberman H, Chandrasoma P, Niland J, Shull J. Absorbable versus permanent mesh in abdominal operations. Surg Gynecol Obstet. 1989;168(3):227–32.PubMedGoogle Scholar
  11. 11.
    Ansaloni L, Catena F, Coccolini F, Gazzotti F, D’Alessandro K, Pinna AD. Inguinal hernia repair with porcine small intestine submucosa: 3-year follow-up results of a randomized controlled trial of Lichtenstein’s repair with polypropylene mesh versus Surgisis inguinal hernia matrix. Am J Surg. 2009;198(3):303–12.  https://doi.org/10.1016/j.amjsurg.2008.09.021.CrossRefPubMedGoogle Scholar
  12. 12.
    Symeonidis D, Efthimiou M, Koukoulis G, Athanasiou E, Mamaloudis I, Tzovaras G. Open inguinal hernia repair with the use of polyglycolic acid / trimethylene carbonate absorbable mesh: a critical update of the long-term results. Hernia. 2013;17:85–7.  https://doi.org/10.1007/s10029-012-1016-0.CrossRefPubMedGoogle Scholar
  13. 13.
    Ruiz-Jasbon F, Norrby J, Ivarsson ML, Björck S. Inguinal hernia repair using a synthetic long-term resorbable mesh: results from a 3-years prospective safety and performance study Hernia. Published online: 26 April 2014.  https://doi.org/10.1007/s10029-014-1249-1
  14. 14.
    Fine AP. Laparoscopic repair of inguinal hernia using Surgisis mesh and fibrin sealant. JSLS. 2006;10(4):465.Google Scholar
  15. 15.
    Agresta F, Bedin N. Transabdominal laparoscopic inguinal hernia repair: is there a place for biological mesh? Hernia. 2008;12(6):609–12.  https://doi.org/10.1007/s10029-008-0390-0.CrossRefPubMedGoogle Scholar
  16. 16.
    Edelmann DS, Selesnick H. “sport” hernia: treatment with biologic mesh (Surgisis): a preliminary study. Surg Endosc. 2006;20(6):971–3.CrossRefGoogle Scholar
  17. 17.
    Franklin ME Jr, Gonzalez JJ Jr, Glass JL. Use of porcine small intestinal submucosa as a prosthetic device for laparoscopic repair of hernias in contaminated fields: 2 year follow-up. Hernia. 2004;8(3):186–9.CrossRefPubMedGoogle Scholar

Fixation (Rene Fortelny)

  1. 18.
    Sajid MS, Ladwa N, Kalra L, McFall M, Baig MK, Sains P. A meta-analysis examining the use of tacker mesh fixation versus glue mesh fixation in laparoscopic inguinal hernia repair. Am J Surg. 2013;206(1):103–11.  https://doi.org/10.1016/j.amjsurg.2012.09.003. Epub 2013 Feb 4. PubMed PMID: 23388426.CrossRefPubMedGoogle Scholar
  2. 19.
    Kaul A, Hutfless S, Le H, Hamed SA, Tymitz K, Nguyen H, Marohn MR. Staple versus fibrin glue fixation in laparoscopic total extraperitoneal repair of inguinal hernia: a systematic review and meta-analysis. Surg Endosc. 2012;26(5):1269–78.  https://doi.org/10.1007/s00464-011-2025-2. Epub 2012 Feb 21. Review. PubMed PMID: 22350225.CrossRefPubMedGoogle Scholar
  3. 20.
    Sajid MS, Ladwa N, Kalra L, Hutson K, Sains P, Baig MK. A meta-analysis examining the use of tacker fixation versus no-fixation of mesh in laparoscopic inguinal hernia repair. Int J Surg. 2012;10(5):224–31.  https://doi.org/10.1016/j.ijsu.2012.03.001. Epub 2012 Mar 24. Review. PubMed PMID: 22449832.CrossRefPubMedGoogle Scholar
  4. 21.
    Teng YJ, Pan SM, Liu YL, Yang KH, Zhang YC, Tian JH, Han JX. A meta-analysis of randomized controlled trials of fixation versus nonfixation of mesh in laparoscopic total extraperitoneal inguinal hernia repair. Surg Endosc. 2011;25(9):2849–58.  https://doi.org/10.1007/s00464-011-1668-3. Epub 2011 Apr 13. PubMed PMID: 21487873.CrossRefPubMedGoogle Scholar
  5. 22.
    Tam KW, Liang HH, Chai CY. Outcomes of staple fixation of mesh versus nonfixation in laparoscopic total extraperitoneal inguinal repair: a meta-analysis of randomized controlled trials. World J Surg. 2010;34(12):3065–74.  https://doi.org/10.1007/s00268-010-0760-5. PubMed PMID: 20714896.CrossRefPubMedGoogle Scholar
  6. 23.
    Melissa CS, Bun TA, Wing CK, Chung TY, Wai NE, Tat LH. Randomized double-blinded prospective trial of fibrin sealant spray versus mechanical stapling in laparoscopic total extraperitoneal hernioplasty. Ann Surg. 2014;259(3):432–7.  https://doi.org/10.1097/SLA.0b013e3182a6c513. PubMed PMID: 24045438.CrossRefPubMedGoogle Scholar
  7. 24.
    Tolver MA, Rosenberg J, Juul P, Bisgaard T. Randomized clinical trial of fibrin glue versus tacked fixation in laparoscopic groin hernia repair. Surg Endosc. 2013;27(8):2727–33.  https://doi.org/10.1007/s00464-012-2766-6. Epub 2013 Jan 26. Erratum in: Surg Endosc. 2013 Aug;27(8):2734. PubMed PMID: 23355162.CrossRefPubMedGoogle Scholar
  8. 25.
    Horisberger K, Jung MK, Zingg U, Schöb O. Influence of type of mesh fixation in endoscopic totally extraperitoneal hernia repair (TEP) on long-term quality of life. World J Surg. 2013;37(6):1249–57.  https://doi.org/10.1007/s00268-013-1974-0. PubMed PMID: 23604341.CrossRefPubMedGoogle Scholar
  9. 26.
    Wang MG, Tian ML, Zhao XF, Nie YS, Chen J, Shen YM. Effectiveness and safety of n-butyl-2-cyanoacrylate medical adhesive for noninvasive patch fixation laparoscopic inguinal hernia repair. Surg Endosc. 2013;27(10):3792–8.  https://doi.org/10.1007/s00464-013-2970-z. Epub 2013 May 10. PubMed PMID: 23660719.CrossRefPubMedGoogle Scholar
  10. 27.
    Cambal M, Zonca P, Hrbaty B. Comparison of self-gripping mesh with mesh fixation with fibrin-glue in laparoscopic hernia repair (TAPP). Bratisl Lek Listy. 2012;113(2):103–7. PubMed PMID: 22394041PubMedGoogle Scholar
  11. 28.
    Brügger L, Bloesch M, Ipaktchi R, Kurmann A, Candinas D, Beldi G. Objective hypoesthesia and pain after transabdominal preperitoneal hernioplasty: a prospective, randomized study comparing tissue adhesive versus spiral tacks. Surg Endosc. 2012;26(4):1079–85.  https://doi.org/10.1007/s00464-011-2003-8. Epub 2011 Nov 2. PubMed PMID: 22044970.CrossRefPubMedGoogle Scholar
  12. 29.
    Subwongcharoen S, Ruksakul K. A randomized controlled trial of staple fixation versus N-butyl-2-cyanoacrylate fixation in laparoscopic inguinal hernia repair. J Med Assoc Thail. 2013;96(Suppl 3):S8–13. PubMed PMID: 23682517Google Scholar
  13. 30.
    Fumagalli Romario U, Puccetti F, Elmore U, Massaron S, Rosati R. Self-gripping mesh versus staple fixation in laparoscopic inguinal hernia repair: a prospective comparison. Surg Endosc. 2013;27(5):1798–802.  https://doi.org/10.1007/s00464-012-2683-8. Epub 2013 Jan 5. PubMed PMID: 23292556.CrossRefPubMedGoogle Scholar
  14. 31.
    Garg P, Nair S, Shereef M, Thakur JD, Nain N, Menon GR, Ismail M. Mesh fixation compared to nonfixation in total extraperitoneal inguinal hernia repair: a randomized controlled trial in a rural center in India. Surg Endosc. 2011;25(10):3300–6.  https://doi.org/10.1007/s00464-011-1708-z. Epub 2011 May 2. PubMed PMID: 21533969CrossRefPubMedGoogle Scholar
  15. 32.
    Fortelny RH, Petter-Puchner AH, May C, Jaksch W, Benesch T, Khakpour Z, Redl H, Glaser KS. 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(1):249–54.  https://doi.org/10.1007/s00464-011-1862-3. Epub 2011 Aug 19. PubMed PMID: 21853390.CrossRefPubMedGoogle Scholar
  16. 33.
    Bittner R, Gmähle E, Gmähle B, Schwarz J, Aasvang E, Kehlet H. Lightweight mesh and noninvasive fixation: an effective concept for prevention of chronic pain with laparoscopic hernia repair (TAPP). Surg Endosc. 2010;24(12):2958–64.  https://doi.org/10.1007/s00464-010-1140-9. Epub 2010 Jun 5. PubMed PMID: 20526620.CrossRefPubMedGoogle Scholar
  17. 34.
    Garg P, Rajagopal M, Varghese V, Ismail M. Laparoscopic total extraperitoneal inguinal hernia repair with nonfixation of the mesh for 1,692 hernias. Surg Endosc. 2009;23(6):1241–5.  https://doi.org/10.1007/s00464-008-0137-0. Epub 2008 Sep 24 PubMed PMID: 18813990.CrossRefPubMedGoogle Scholar
  18. 35.
    Taylor C, Layani L, Liew V, Ghusn M, Crampton N, White S. Laparoscopic inguinal hernia repair without mesh fixation, early results of a large randomised clinical trial. Surg Endosc. 2008;22(3):757–62. Epub 2007 Sep 21. PubMed PMID: 17885789CrossRefPubMedGoogle Scholar
  19. 36.
    Boldo E, Armelles A, Perez de Lucia G, Martin F, Aracil JP, Miralles JM, Martinez D, Escrig J. Pain after laparoscopic bilateral hernioplasty: early results of a prospective randomized double-blind study comparing fibrin versus staples. Surg Endosc. 2008;22(5):1206–9. Epub 2007 Oct 18. Erratum in: Surg Endosc. 2008;22(5):1210. PubMed PMID: 17943371.CrossRefGoogle Scholar
  20. 37.
    Ceccarelli G, Casciola L, Pisanelli MC, Bartoli A, Di Zitti L, Spaziani A, Biancafarina A, Stefanoni M, Patriti A. Comparing fibrin sealant with staples for mesh fixation in laparoscopic transabdominal hernia repair: a case control-study. Surg Endosc. 2008;22(3):668–73. PubMed PMID: 17623245.CrossRefPubMedGoogle Scholar
  21. 38.
    Olmi S, Scaini A, Erba L, Guaglio M, Croce E. Quantification of pain in laparoscopic transabdominal preperitoneal (TAPP) inguinal hernioplasty identifies marked differences between prosthesis fixation systems. Surgery. 2007;142(1):40–6. PubMed PMID: 17629999.CrossRefPubMedGoogle Scholar
  22. 39.
    Lovisetto F, Zonta S, Rota E, Mazzilli M, Bardone M, Bottero L, Faillace G, Longoni M. Use of human fibrin glue (Tissucol) versus staples for mesh fixation in laparoscopic transabdominal preperitoneal hernioplasty: a prospective, randomized study. Ann Surg. 2007;245(2):222–31. PubMed PMID: 17245175; PubMed Central PMCID: PMC1876985.CrossRefPubMedPubMedCentralGoogle Scholar
  23. 40.
    Schwab R, Willms A, Kröger A, Becker HP. Less chronic pain following mesh fixation using a fibrin sealant in TEP inguinal hernia repair. Hernia. 2006;10(3):272–7. Epub 2006 Mar 23. PubMed PMID: 16554980.CrossRefPubMedGoogle Scholar
  24. 41.
    Koch CA, Greenlee SM, Larson DR, Harrington JR, Farley DR. Randomized prospective study of totally extraperitoneal inguinal hernia repair: fixation versus no fixation of mesh. JSLS. 2006;10(4):457–60. PubMed PMID:17575757; PubMed Central PMCID: PMC3015750.PubMedPubMedCentralGoogle Scholar
  25. 42.
    Lau H. Fibrin sealant versus mechanical stapling for mesh fixation during endoscopic extraperitoneal inguinal hernioplasty: a randomized prospective trial. Ann Surg. 2005;242(5):670–5. PubMed PMID: 16244540; PubMed Central PMCID:PMC1409848.CrossRefPubMedPubMedCentralGoogle Scholar
  26. 43.
    Topart P, Vandenbroucke F, Lozac'h P. Tisseel versus tack staples as mesh fixation in totally extraperitoneal laparoscopic repair of groin hernias: a retrospective analysis. Surg Endosc. 2005;19(5):724–7. Epub 2005 Mar 11. PubMed PMID: 15759187.CrossRefPubMedGoogle Scholar
  27. 44.
    Moreno-Egea A, Torralba Martínez JA, Morales Cuenca G, Aguayo Albasini JL. Randomized clinical trial of fixation vs. nonfixation of mesh in total extraperitoneal inguinal hernioplasty. Arch Surg. 2004;139(12):1376–9. PubMed PMID: 15611465.CrossRefPubMedGoogle Scholar
  28. 45.
    Lau H, Patil NG. Selective non-stapling of mesh during unilateral endoscopic total extraperitoneal inguinal hernioplasty: a case-control study. Arch Surg. 2003;138(12):1352–5. PubMed PMID: 14662538.CrossRefPubMedGoogle Scholar
  29. 46.
    Khajanchee YS, Urbach DR, Swanstrom LL, Hansen PD. Outcomes of laparoscopic herniorrhaphy without fixation of mesh to the abdominal wall. Surg Endosc. 2001;15(10):1102–7. PubMed PMID: 11727079.CrossRefPubMedGoogle Scholar
  30. 47.
    Smith AI, Royston CM, Sedman PC. Stapled and nonstapled laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair. A prospective randomized trial. Surg Endosc. 1999;13(8):804–6. PubMed PMID: 10430690.CrossRefPubMedGoogle Scholar
  31. 48.
    Ferzli GS, Frezza EE, Pecoraro AM Jr, Ahern KD. Prospective randomized study of stapled versus unstapled mesh in a laparoscopic preperitoneal inguinal hernia repair. J Am Coll Surg. 1999;188(5):461–5. PubMed PMID: 10235572.CrossRefPubMedGoogle Scholar
  32. 49.
    Parshad R, Kumar R, Hazrah P, Bal S. A randomized comparison of the early outcome of stapled and unstapled techniques of laparoscopic total extraperitoneal inguinal hernia repair. JSLS. 2005;9(4):403–7. PubMed PMID: 16381354; PubMed Central PMCID: PMC3015632.PubMedPubMedCentralGoogle Scholar
  33. 50.
    Novik B, Hagedorn S, Mörk UB, Dahlin K, Skullman S, Dalenbäck J. Fibrin glue For securing the mesh in laparoscopic totally extraperitoneal inguinal hernia repair: a study with a 40-month prospective follow-up period. Surg Endosc. 2006;20(3):462–7. Epub 2006 Jan 19. PubMed PMID: 16424986.CrossRefPubMedGoogle Scholar
  34. 51.
    Mayer F, Niebuhr H, Lechner M, Dinnewitzer A, Köhler G, Hukauf M, Fortelny RH, Bittner R, Köckerling F. When is mesh fixation in TAPP-repair of primary inguinal hernia repair necessary? The register-based analysis of 11,230 cases. Surg Endosc. 2016. [Epub ahead of print] PubMed PMID: 26886454.Google Scholar
  35. 52.
    Gutlic N, Rogmark P, Nordin P, Petersson U, Montgomery A. Impact of mesh fixation on chronic pain in total extraperitoneal inguinal hernia repair (TEP): A nationwide register-based study. Ann Surg. 2015. [Epub ahead of print] PubMed PMID: 26135697.Google Scholar
  36. 53.
    Agresta F, et al. Laparoscopic Tapp inguinal hernia repair: mesh fixation with absorbable tacks, initial experience. J Minim Invasive Surg Sci. 2016;5(2):e35609.CrossRefGoogle Scholar
  37. 54.
    Belyansky I, et al. Prospective, comparative study of postoperative quality of life in TEP, TAPP, and modified Lichtenstein repairs. Ann Surg. 2011;254(5):709–14.CrossRefPubMedGoogle Scholar
  38. 55.
    Bittner R, Montgomery MA, Arregui E, Bansal V, Bingener J, Bisgaard T, Buhck H, Dudai M, Ferzli GS, Fitzgibbons RJ, Fortelny RH, Grimes KL, Klinge U, Köckerling F, Kumar S, Kukleta J, Lomanto D, Misra MC, Morales-Conde S, Reinpold W, Rosenberg J, Singh K, Timoney M, Weyhe D. Chowbey P; international Endohernia society. Update of guidelines on laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal hernia (international Endohernia society). Surg Endosc. 2015;29(2):289–321.CrossRefPubMedGoogle Scholar
  39. 56.
    Miserez M, Peeters E, Aufenacker T, Bouillot JL, Campanelli G, Conze J, Fortelny R, Heikkinen T, Jorgensen LN, Kukleta J, Morales-Conde S, Nordin P, Schumpelick V, Smedberg S, Smietanski M, Weber G, Simons MP. Update with level 1 studies of the European hernia society guidelines on the treatment of inguinal hernia in adult patients. Hernia. 2014;18(2):151–63.CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Ferdinand Köckerling
    • 1
  • Dirk Weyhe
    • 2
  • Rene H. Fortelny
    • 3
  • Bruce Ramshaw
    • 4
  1. 1.Academic Teaching Hospital of Charitè Medical School, Vivantes Hospital, Department of Surgery and Center for Minimally Invasive SurgeryBerlinGermany
  2. 2.Department of Visceral SurgeryUniversity of Oldenburg, School of Medicine and Health Sciences, Pius-Hospital, Medical CampusOldenburgGermany
  3. 3.General, Visceral and Oncological SurgeryWilhelminenspitalViennaAustria
  4. 4.Department of SurgeryUniversity Surgeons AssociatesKnoxvilleUSA

Personalised recommendations