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Short Learning Curve for Self –adhering mesh in Laparoscopic Inguinal Hernia Repair

Gideon Sroka, MD, Bothaina Nakad, MD, Basel Haj, MD, Ibrahim Matter, MD. Bnai-Zion Medical Center

Introduction: One of the pitfalls in laparoscopic inguinal hernia repair is mesh fixation with tacks. Their use could cause bleeding and chronic pain. This study examines the implementation of self-adhering mesh – Lap ProGrip ™ in Trans Abdominal Pre-Peritoneal (TAPP) approach of inguinal hernia repair.

Methods: the first patients who went through the procedure in our department from May2016 to April 2017 were included in the study. Visual Analog Scale (VAS) pain scores were recorded at the Post Anasthesia Care Unit (PACU), one day after surgery before discharge (OD), and one week post op at the clinic (OW). Data is presented as mean±SD.

Results: 73 hernias were repaired in 50 (43M; 7F) patients. Time of the operation was 39±9 min for unilateral and 51±12  min for bilateral procedure. Patients were admitted for one night post op. Pain scores were 3.6±1.8, 1.7±0.6 and 0.8±0.2 at PACU, OD and OW respectively. 43(86%) patients used analgesics for only 2 days post op. One patient had a seroma that was treated conservatively. At follow up time of 9.3±4.6 months there was no requrrence.

Conclusion: for surgeons with high volume of laparoscopic procedures there is a quick learning curve for the adoption of a TAPP use of self-adhering mesh. It seems that there is reduced pain after use of this type of mesh. Comparative studies are needed for further evaluation of this approach.     


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

Abstract ID: 87824

Program Number: P046

Presentation Session: iPoster Session (Non CME)

Presentation Type: Poster

39

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