P-042 SHORT-TERM RESULTS OF LAPAROSCOPIC TOTALLY EXTRAPERITONEAL (TEP) GROIN HERNIA REPAIR WITH LIGHTWEIGHT FLAT MESH WITHOUT FIXATION. AGAINST THE ESTABLISHED?

Autor: P Marrero Marrero, L J Delgado Plasencia, N Lorenzo Rocha, D Rodríguez Castellano, L Fernández Hernández, A F Bravo Gutiérrez
Rok vydání: 2023
Předmět:
Zdroj: British Journal of Surgery. 110
ISSN: 1365-2168
0007-1323
DOI: 10.1093/bjs/znad080.178
Popis: Aim International guidelines concerning mesh and mesh fixation options in TEP and transabdominal preperitoneal (TAPP) groin hernia repair are based on studies focusing on either mesh or fixation. The value of such recommendations is limited by lacking knowledge on how mesh and fixation interact. The Swedish Hernia Registry Study published in 2022 a cohort study where it recommended in TEP and TAPP the use of lightweight flat mesh with fibrin glue fixation and the use of standar polypropylene flat mesh without fixation, as the two methods with the lowest rate of reoperations for recurrence (3,7%). We present the short-term results of TEP groin hernia repair with lightweight polypropylene flat mesh without fixation. Material and Methods In 2021, 32 TEP were electively performed in 27 adults with inguinal hernias L, M, F, P or R (EHS-Classification). The endpoint was reoperation due to recurrence at 1 year after surgery. Results 32 hernias L1 P, 1 L2 P, 2 L2 R and 1 F1 P were operated as outpatient surgery. 24 males and 4 females. Average age 57,5; Average BMI 28; The most frecuent postoperative complication was mild self-limiting scrotal hematoma (10%; Clavien-Dindos-I). Recurrence rate of hernia was 3,7%. Conclusions The TEP groin hernia repair with lightweight flat mesh without fixation could be an option to consider. However, due to the small sample size used in this study, the results should be interpreted with caution and longer-term studies are needed.
Databáze: OpenAIRE
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