A new approach in laparoscopic repair of inguinal and femoral hernias

The aim of this study to analyze results of a new method which eliminates complications associated with the classic mesh fixation areas and does not increase recurrence rates. This prospective study included a total of 70 patients applied with inguinal or femoral hernia repair with the laparoscopic TEP method. The patients were randomly separated into two groups as Group 1 applied with tack fixation and Group 2 applied with plug mesh and subcutaneous vicryl fixation. The groups were followed up and compared. The group applied with the newly-developed repair technique of plug mesh and vicryl fixation were observed to have a shorter length of stay in hospital, a lower requirement for postoperative analgesia, and reduced urinary retention and seroma rates. No difference was determined between the two groups in respect of operating time and return to normal activities. In the 24-month follow-up period, there was no significant difference in respect of hernia recurrence. The results of the study showed that the use of the newly-developed repair technique of plug mesh and vicryl fixation in laparoscopic TEP inguinal hernia repair increased the life quality after surgery. There are also cost advantages. This is a technique that can be selected for suitable patients. [Med-Science 2018; 7(4.000): 878-81