Norihito Wada, MD, PhD, FACS, Toshiharu Furukawa, MBA, MD, PhD, Yuko Kitagawa, MD, PhD, FACS. Keio University School of Medicine
Background: Tension-free repair using synthetic meshes have been reported to have better results in terms of recurrence rates and patient QOL compared with conventional tissue repair and become common and considered the standard procedure. However, little is known about what types and fixation methods of mesh are optimal. Here, we show our recent surgical strategies and clinical outcomes of the tension-free repair using self-fixating mesh for inguinal hernia.
Methods: From January 2012 to December 2015, a total of 465 consecutive patients underwent inguinal hernia repair in our hospital. Basically, Lichtenstein repair was used for unilateral and TEP for bilateral cases. All the patients were treated under local anesthesia.
Results: TEP was used in 134 patients (29%). Significantly more female patients were treated with TEP (4.5% vs 16.4%, P=0.00004). Operating time (min) was 109 and 176, respectively. Post-operative median hospital stay was 1 day in both group. No severe complications (CD 3 or more) nor chronic pain after surgery were observed in this case series. Minor complications including hematomas (0.8% vs 1.0%), seromas (3.4% vs 3.9%) were treated conservatively. During medial follow-up of 36 months, we had 2 cases of recurrence (1 for each group).
Conclusions: Tension-free repair using self-fixating mesh for inguinal hernia had good clinical results. The cost for mesh fixation and general anesthesia is not required in both methods. Our strategy using self-fixating mesh may provide further minimally invasive surgical care for the patients with inguinal hernia.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 79760
Program Number: P042
Presentation Session: Poster (Non CME)
Presentation Type: Poster