Postoperative pain in transabdominal preperitoneal laparoscopic hernia repair with staple fixation versus self-fixation mesh

Carlos Eduardo Rey Chaves, Camilo Ramírez-Giraldo, Andrés Isaza-Restrepo, Danny Conde Monroy, Juliana González-Tamayo, Daniela Ayala, Maria Carolina Moreno Matson, Jorge Navarro-Alean

Research output: Contribution to journalArticlepeer-review

Abstract

Background: The mesh fixation method is one of the multiple factors associated with chronic postoperative pain in inguinal hernia surgery. The aim of this study is to evaluate postoperative pain associated with the two available fixation strategies (staple fixation versus self-fixating mesh) used in our field. Methods: We designed an observational study with retrospective cohorts to analyze postoperative pain in patients who underwent a laparoscopic transabdominal preperitoneal inguinal hernia repair with a self-fixating mesh or staple fixation, which are the two available techniques in our field. A total of 296 patients who met the inclusion criteria were included between January 2014 and October 2021. Results: The evaluated patients’ median age was 66.0 (interquartile range (IQR): 20.75) years and were predominantly male (70.13 %). The proportion of participants with chronic pain was 3.20 % in the staple fixation group and 0 % in the self-fixating mesh group, with no statistically significant differences. On the other hand, recurrency in the staple fixation group was 2.28 % versus 3.90 % in the self-fixating mesh group, without statistically significant differences. Conclusions: Self-fixating meshes have a trend towards smaller proportion of chronic pain and similar proportions of recurrence; therefore, they seem to be the best fixation method between the two mechanisms that are available in our field to prevent postoperative chronic pain.

Original languageEnglish
Article numbere30033
JournalHeliyon
Volume10
Issue number9
DOIs
StatePublished - 15 May 2024

Keywords

  • Chronic pain
  • Inguinal hernia
  • Laparoscopic
  • Mesh fixation
  • Transabdominal preperitoneal repair

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