Laparoscopic Tapp Inguinal Hernia Repair: Mesh Fixation With Absorbable Tacks, Initial Experience

2016 ◽  
Vol 5 (2) ◽  
Author(s):  
Ferdinando Agresta ◽  
Alice Marzetti ◽  
Luca Andrea Verza ◽  
Daniela Prando ◽  
Alireza Azabdaftari ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Mesh Fixation ◽  
Initial Experience ◽  
Absorbable Tacks

Cyanoacrylate Glue Versus Absorbable Tacks in Mesh Fixation for Laparoscopic Extraperitoneal Inguinal Hernia Repair

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Michael Issa ◽  
Mark Tacey ◽  
Joshua Geraghty ◽  
Atandrila Das ◽  
Arun Dhir ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Mesh Fixation ◽  
Cyanoacrylate Glue ◽  
Absorbable Tacks

scholarly journals Mesh Fixation in Laparoscopic Inguinal Hernia Repair: Absorbable vs. Non-Absorbable Tacks

2020 ◽  
Vol 6 (6) ◽  
Author(s):  
Iriarte F ◽  
Alberti JF ◽  
Croceri RE ◽  
Medina P ◽  
Pirchi DE
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Fibrin Glue ◽  
Mesh Fixation ◽  
Laparoscopic Inguinal Hernia Repair ◽  
Recurrence Rates ◽  
Laparoscopic Inguinal Hernia ◽  
Absorbable Tacks ◽  
Human Fibrin Glue

Background: Laparoscopic inguinal hernia repair is an accepted technique for the treatment of primary inguinal hernias. There are several ways of mesh fixation including absorbable, non-absorbable staplers and even human fibrin glue. Little evidence is found when looking for a difference in recurrence rates between the first two.

scholarly journals Initial experience using a handheld fully articulating software-driven laparoscopic needle driver in TAPP inguinal hernia repair

2021 ◽  
Author(s):  
Victoria Needham ◽  
Diego Camacho ◽  
Flavio Malcher
Keyword(s):  
Inguinal Hernia ◽  
Minimally Invasive ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Mesh Fixation ◽  
Initial Experience ◽  
Needle Driver ◽  
Peritoneal Closure ◽  
Standard Laparoscopy ◽  
Suture Closure

Abstract Background The laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair is a widely performed minimally invasive operation, but can present considerable ergonomic challenges for the surgeon. Our objective was to determine if a novel handheld software-driven laparoscopic articulating needle driver can mitigate these difficulties. Methods The video recordings of a consecutive series of TAPP cases by a single surgeon using the articulating device were compared with a series of cases using straight-stick laparoscopy. Two critical steps of the procedure were analyzed for time: mesh fixation and peritoneal suture closure. These steps were then compared before and after 10 initial consecutive cases to analyze whether the surgeon demonstrated improvement. A cost analysis was also performed between the two techniques. Results For mesh fixation, the surgeon averaged 227 s using tacker devices, compared with 462.4 s using the novel laparoscopic device (p = 0.06). For the peritoneal closure component of the operation, the surgeon improved the time per suture pass during closure from 60.61 s during the first 10 cases to 38.84 s after the first 10 cases (p = 0.0004), which was comparable to the time per stitch for standard laparoscopy (34.8 s vs 34.84 s, p = 0.997). Left-sided inguinal hernia repairs using the articulating device demonstrated a significantly longer time per stitch during peritoneal closure compared to the right side after first 10 cases (left: 40.62 s; right: 27.91, p = 0.005). Our direct cost analysis demonstrated that suture closure of the peritoneum using the articulating device was more cost-effective than tack fixation. Conclusions After only a 10 case initial experience, a laparoscopic hand-held articulating needle driver is comparable to standard laparoscopy to complete suture mesh fixation and peritoneal closure for TAPP inguinal hernia repair. Further, the feasibility of suture mesh fixation minimizes the need for costly tacker devices. This instrument appears to be a promising tool in this largely minimally invasive era of hernia repair.

Biomechanical properties of (semi-) synthetic glues for mesh fixation in endoscopic inguinal hernia repair

Hernia ◽  
2012 ◽  
Vol 17 (6) ◽  
pp. 773-777 ◽  
Author(s):  
C. Schug-Pass ◽  
D. A. Jacob ◽  
J. Rittinghausen ◽  
H. Lippert ◽  
F. Köckerling
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Mesh Fixation ◽  
Biomechanical Properties
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