• Skip to main content
  • Skip to header right navigation
  • Skip to site footer

Log in
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
www.sages.org

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Awards
    • Who Is SAGES?
    • Leadership
    • Our Mission
    • Advocacy
    • Committees
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Committee Rosters
      • SAGES Past Presidents
  • Meetings
    • SAGES NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2026 Scientific Session Call for Abstracts
      • 2026 Emerging Technology Call for Abstracts
    • CME Claim Form
    • SAGES Past, Present, Future, and Related Meeting Information
    • SAGES Related Meetings & Events Calendar
  • Join SAGES!
    • Membership Application
    • Membership Benefits
    • Membership Types
      • Requirements and Applications for Active Membership in SAGES
      • Requirements and Applications for Affiliate Membership in SAGES
      • Requirements and Applications for Associate Active Membership in SAGES
      • Requirements and Applications for Candidate Membership in SAGES
      • Requirements and Applications for International Membership in SAGES
      • Requirements for Medical Student Membership
    • Member Spotlight
    • Give the Gift of SAGES Membership
  • Patients
    • Join the SAGES Patient Partner Network (PPN)
    • Patient Information Brochures
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find A SAGES Surgeon
  • Publications
    • Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Sustainability in Surgical Practice
    • SAGES Stories Podcast
    • Patient Information Brochures
    • Patient Information From SAGES
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • MesSAGES – The SAGES Newsletter
    • COVID-19 Archive
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • Avoid Opiates After Surgery
    • SAGES Subscription Catalog
    • SAGES TV: Home of SAGES Surgical Videos
    • The SAGES Safe Cholecystectomy Program
    • Masters Program
    • Resident and Fellow Opportunities
      • MIS Fellows Course
      • SAGES Robotics Residents and Fellows Courses
      • SAGES Free Resident Webinar Series
      • Fluorescence-Guided Surgery Course for Fellows
      • Fellows’ Career Development Course
    • SAGES S.M.A.R.T. Enhanced Recovery Program
    • SAGES @ Cine-Med Products
      • SAGES Top 21 Minimally Invasive Procedures Every Practicing Surgeon Should Know
      • SAGES Pearls Step-by-Step
      • SAGES Flexible Endoscopy 101
    • SAGES OR SAFETY Video Activity
  • Opportunities
    • Fellowship Recognition Opportunities
    • SAGES Advanced Flexible Endoscopy Area of Concentrated Training (ACT) SEAL
    • Multi-Society Foregut Fellowship Certification
    • Research Opportunities
    • FLS
    • FES
    • FUSE
    • Jobs Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • OWLS/FLS
You are here: Home / Abstracts / Preliminary Results of a Single-blinded, Prospective Randomized Controlled Trial Compairing Non-fixating Vs. Self-fixating Mesh for Laparoscopic Inguinal Hernia Repair

Preliminary Results of a Single-blinded, Prospective Randomized Controlled Trial Compairing Non-fixating Vs. Self-fixating Mesh for Laparoscopic Inguinal Hernia Repair

Brandon Johnson, BA, Michelle Leong, BS, Kristine Kuchta, MS, Eliza Conaty, BS, Michael Ujiki, MD, Woody Denham, MD, Stephen Haggerty, MD, JoAnn Carbray, BS, Nicolas Bonamici, BS, Matt Gitelis, BS, John Linn, MD. NorthShore University HealthSystem

Introduction: Laparoscopic inguinal hernia repair (LIHR) offers reduced postoperative pain and shorter convalescence compared to open repair. Few studies have assessed whether self-fixating mesh used during LIHR has a significant impact on postoperative quality of life (QoL). We hypothesize that use of self-fixating mesh in totally extraperitoneal (TEP) LIHR will result in less pain and improved QoL compared to non-fixating mesh.

Methods: An IRB-approved, single-blinded randomized controlled trial was offered to patients with primary, unilateral inguinal hernias. Patients were randomized to non-fixating mesh (control) and self-fixating mesh. Participants were seen 3 weeks and 1 year after LIHR. The previously validated Surgical Outcomes Measurement System (SOMS) QoL instrument was used to assess pain, fatigue, and physical function preoperatively and at POD 1-7, 3 weeks, and 1 year. Comparisons between patients with self-fixating and non-fixating mesh groups were made using Chi-Square, Wilcoxon Rank-Sum or Independent Samples T-Tests.

Results: 186 patients were enrolled (95 non-fixating vs. 91 self-fixating). Preoperatively, there was no difference in mean age, mean BMI, or median symptom duration between the control and treatment groups (60.1 vs. 57.4 years, p=0.237; 25.6 vs. 26.1, p=0.354; 2.0 vs. 2.0 months, p=0.762). Median operative times (p=0.328, Table 1), and LOS were similar for the groups (p=0.120, Table 1). More patients in the non-fixating group received tacks (31 vs. 16, p=0.018), but the median number of tacks used was similar (5.5 tacks vs. 5.1, p=0.464). There were zero recurrences in either group. Patients receiving non-fixating mesh recorded significantly better (higher) mean SOMS scores for the first 3 days following surgery (Day 1: p=0.005; Day 2: p=0.002; Day 3: p=0.024, Table 1) indicative of less pain. NSAID use was similar between the groups. Narcotic medication use was more common in the self-fixating group, but amount and duration used were similar (45 vs. 35 patients, p=0.022). No differences in pain were seen at 3 weeks postoperatively (pain quality: p=0.495; pain impact: p=0.780, Table 1). For patients completing 1-year follow up (n=55), no differences in QoL were seen for either group.

Conclusion: Patients receiving self-fixating mesh experience more pain in the first 72 hours postoperatively than those receiving non-fixating mesh. Recurrence rates are similarly low for each group. Mesh groups do not differ in pain impact, pain quality, fatigue or physical function at 3 weeks or 1 year postoperatively. Pain related QoL may not be improved with the use of self-fixating mesh in LIHR.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 80416

Program Number: P002

Presentation Session: Poster of Distinction (Non CME)

Presentation Type: PDIST

76

Share this:

  • Click to share on X (Opens in new window) X
  • Click to share on Facebook (Opens in new window) Facebook
  • Click to share on LinkedIn (Opens in new window) LinkedIn
  • Click to share on Pinterest (Opens in new window) Pinterest
  • Click to share on WhatsApp (Opens in new window) WhatsApp
  • Click to share on Reddit (Opens in new window) Reddit
  • Click to share on Pocket (Opens in new window) Pocket
  • Click to share on Mastodon (Opens in new window) Mastodon
  • Click to share on Threads (Opens in new window) Threads
  • Click to share on Bluesky (Opens in new window) Bluesky

Related


sages_adbutler_leaderboard

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064

1-310-437-0544

[email protected]

Monday – Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Bluesky
  • X
  • Instagram
  • Facebook
  • YouTube

Copyright © 2025 · SAGES · All Rights Reserved

Important Links

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals