Early results of transabdominal preperitoneal inguinal hernia repair (TAPP) using invasive and non-invasive methods of mesh fixation.

Abstract

Objective: Aim: To evaluate the early postoperative results of surgical treatment of patients with inguinal hernias after laparoscopic transabdominal preperitoneal inguinal hernia repair (TAPP) using invasive and non-invasive methods of fixation of prosthetic material.

Patients and methods: Materials and Methods: The study included 76 patients (average age 61,4±15,3 years; 69 [91 %] males, 7 [9 %] females) with primary uncomplicated unilateral inguinal hernias who underwent TAPP. Patients were divided into two groups: group 1 - 52 patients in whom the AbsorbaTack fixation device was used to secure the mesh; group 2 - 24 patients in whom the LiquiBand FIX8 cyanoacrylate adhesive was used. In both groups, in the early postoperative period, the severity of pain according to Visual Analogue Scale (VAS) and functional activity according to the standard Carolinas Comfort Scale (CCS) were assessed.

Results: Results: The severity of pain syndrome, according to VAS score, in the cyanoacrylate glue group was lower starting from postoperative day 7 (1,4±0,7 vs. 1,8±0,6 in group 1, respectively; p=0,026). On postoperative day 30, the functional activity indicators were better in the cyanoacrylate glue group (mean CCS score was 13,3±4,2 vs. 23,3±7,4 points, respectively; p=0,001). There was no difference in the incidence of early postoperative complications among the groups.

Conclusion: Conclusions: Fixation of the mesh with cyanoacrylate glue during laparoscopic transabdominal preperitoneal inguinal hernia repair is a safe and effective technique that helps to reduce the level of postoperative pain and provides better functional results in patients in the early postoperative period compared to traditional methods of mesh fixation.