Mesh fixation in laparoscopic groin hernia repair: a comprehensive review of techniques and devices.

IF 2.6 2区医学 Q1 SURGERY Hernia Pub Date : 2025-02-19 DOI:10.1007/s10029-025-03276-0

Patricia Rancke-Madsen, Stina Öberg, Jacob Rosenberg

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引用次数: 0

Abstract

Purpose: Laparoscopic groin hernia repair has increased in popularity in recent years. Many laparoscopic mesh fixation techniques and devices are available, but there is a lack of high-certainty evidence favoring one fixation technique over another. This narrative review aimed to provide a comprehensive summary detailing the available mesh fixation techniques and devices used in laparoscopic groin hernia repair.

Methods: Information about mesh fixation techniques and devices was searched in PubMed, groin hernia guidelines, and medical technology companies webpages.

Results: This review outlines various mesh fixation techniques, materials, and their features in laparoscopic groin hernia repair. We have summarized and presented in detail the available information on both penetrating and non-penetrating mesh fixation techniques, including the option of not fixating the mesh. Penetrating mesh fixation includes tacks, staples, and sutures. Tacks vary in size, absorption time, and shape and can be further categorized into absorbable and permanent materials. Additionally, this review describes two types of permanent titanium staples and the use of permanent and absorbable sutures as mesh fixation. Non-penetrating mesh fixation includes self-fixating mesh and glue. The types of glue are cyanoacrylate glue and fibrin sealant. While fibrin sealant requires careful thawing from a frozen state before use, cyanoacrylate glue offers easier storage but poses a risk of exothermic reaction with the surrounding tissue. Self-fixating meshes have an adhesive side made of microgrips or adhesive material, and a permanent side.

Conclusion: This review provided a comprehensive overview of the various mesh fixation techniques and devices in laparoscopic groin hernia repair.

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来源期刊

Hernia SURGERY-

CiteScore

4.90

自引率

26.10%

发文量

171

审稿时长

4-8 weeks

期刊介绍： Hernia was founded in 1997 by Jean P. Chevrel with the purpose of promoting clinical studies and basic research as they apply to groin hernias and the abdominal wall . Since that time, a true revolution in the field of hernia studies has transformed the field from a ”simple” disease to one that is very specialized. While the majority of surgeries for primary inguinal and abdominal wall hernia are performed in hospitals worldwide, complex situations such as multi recurrences, complications, abdominal wall reconstructions and others are being studied and treated in specialist centers. As a result, major institutions and societies are creating specific parameters and criteria to better address the complexities of hernia surgery. Hernia is a journal written by surgeons who have made abdominal wall surgery their specific field of interest, but we will consider publishing content from any surgeon who wishes to improve the science of this field. The Journal aims to ensure that hernia surgery is safer and easier for surgeons as well as patients, and provides a forum to all surgeons in the exchange of new ideas, results, and important research that is the basis of professional activity.