Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Hernia
Published in: Hernia 6/2008

01-12-2008 | Original Article

Transabdominal laparoscopic inguinal hernia repair: is there a place for biological mesh?

Authors: F. Agresta, N. Bedin

Published in: Hernia | Issue 6/2008

Login to get access

Abstract

Aim

An ideal mesh should produce minimal foreign-body reaction and be compatible with human tissue. Studies focusing on these aspects indicate that a biological mesh acts as a scaffold for hernia repair. In this paper, we retrospectively evaluate a consecutive series of patients who underwent laparoscopic transabdominal pre-peritoneal (TAPP) hernioplasty using a biological mesh—Surgisis—fixed with fibrin glue, focusing on the feasibility of the technique and the incidence of complications, especially those related to the type of mesh implanted.

Methods

Between July and September 2006, 11 patients were operated on using TAPP hernioplasty (bilateral or unilateral) and applying a Surgisis mesh affixed by a fibrin sealant.

Results

The mean overall operative time was 75 (±15) min. All of the surgeries were performed as a day surgery procedure. Any major or minor complications (early or late), such as prosthesis rejection and/or infection, were recorded. There was only one case of recurrence, likely due to technical error. The mean follow-up was 14.5 (±1) months.

Conclusion

On the basis of this initial experience, TAPP hernioplasty with a Surgisis mesh affixed with fibrin glue is feasible, easy to perform, and effective in experienced hands, with good results. The well known characteristics of a minimally invasive and gentle approach, together with the type of mesh implanted and fixation using glue, might explain the encouraging results of this experience. Therefore, this type of mesh might be tailored to not only the sportsman or the patient with a contaminated surgical field, but may also be used in young patients, where there is a fear of leaving behind a long-term foreign body.
Literature
1.
Agresta F, Baldazzi GA, Ciardo LF, Trentin G, Giuseppe S, Ferrante F, Bedin N (2007) Lightweight partially absorbable monofilament mesh (polypropylene/poliglecaprone 25) for TAPP inguinal hernia repair: initial experience. Surg Laparosc Endosc Percutan Tech 17(2):91–94PubMedCrossRef
2.
Amid PK (1997) Classification of biomaterials and their related complications in abdominal wall hernia surgery. Hernia 1:15–21CrossRef
3.
Anadol ZA, Ersoy E, Taneri F, Tekin E (2004) Outcome and cost comparison of laparoscopic transabdominal preperitoneal hernia repair versus open Lichtenstein technique. J Laparoendosc Adv Surg Tech A 14(3):159–163PubMedCrossRef
4.
Arvidsson D, Berndsen FH, Larsson LG, Leijonmarck CE, Rimbäck G, Rudberg C, Smedberg S, Spangen L, Montgomery A (2005) Randomized clinical trial comparing 5-year recurrence rate after laparoscopic versus Shouldice repair of primary inguinal hernia. Br J Surg 92(9):1085–1091PubMedCrossRef
5.
Bozuk M, Schuster R, Stewart D, Hicks K, Greaney G, Waxman K (2003) Disability and chronic pain after open mesh and laparoscopic inguinal hernia repair. Am Surg 69(10):839–841PubMed
6.
Fujita F, Lahmann B, Otsuka K, Lyass S, Hiatt JR, Phillips EH (2004) Quantification of pain and satisfaction following laparoscopic and open hernia repair. Arch Surg 139(6):596–600PubMedCrossRef
7.
Köninger J, Redecke J, Butters M (2004) Chronic pain after hernia repair: a randomized trial comparing Shouldice, Lichtenstein and TAPP. Langenbecks Arch Surg 389(5):361–365PubMedCrossRef
8.
Lau H (2005) Fibrin sealant versus mechanical stapling for mesh fixation during endoscopic extraperitoneal inguinal hernioplasty: a randomized prospective trial. Ann Surg 242(5):670–675PubMedCrossRef
9.
Lovisetto F, Zonta S, Rota E, Mazzilli M, Bardone M, Bottero L, Faillace G, Longoni M (2007) Use of human fibrin glue (Tissucol) versus staples for mesh fixation in laparoscopic transabdominal preperitoneal hernioplasty: a prospective, randomized study. Ann Surg 245(2):222–231PubMedCrossRef
10.
Moreno-Egea A, Torralba Martínez JA, Morales Cuenca G, Aguayo Albasini JL (2004) Randomized clinical trial of fixation vs nonfixation of mesh in total extraperitoneal inguinal hernioplasty. Arch Surg 139(12):1376–1379PubMedCrossRef
11.
Puccio F, Solazzo M, Marciano P (2005) Comparison of three different mesh materials in tension-free inguinal hernia repair: prolene versus Vypro versus Surgisis. Int Surg 90:S21–S23PubMed
12.
Post S, Weiss B, Willer M, Neufang T, Lorenz D (2004) Randomized clinical trial of lightweight composite mesh for Lichtenstein inguinal hernia repair. Br J Surg 91(1):44–48PubMedCrossRef
13.
Santoro E, Agresta F, Buscaglia F, Mulieri G, Mazzarolo G, Bedin N, Mulieri M (2007) Preliminary experience using fibrin glue for mesh fixation in 250 patients undergoing minilaparoscopic transabdominal preperitoneal hernia repair. J Laparoendosc Adv Surg Tech A 17(1):12–15PubMedCrossRef
14.
Topart P, Vandenbroucke F, Lozac’h P (2005) Tisseel versus tack staples as mesh fixation in totally extraperitoneal laparoscopic repair of groin hernias: a retrospective analysis. Surg Endosc 19:724–727PubMedCrossRef
15.
Ansaloni L, Catena F, Gagliardi S, Gazzotti F, D’Alessandro L, Pinna AD (2007) Hernia repair with porcine small-intestinal submucosa. Hernia 11(4):321–6PubMedCrossRef
16.
Ansaloni L, Cambrini P, Catena F, Di Saverio S, Gagliardi S, Gazzotti F, Hodde JP, Metzger DW, D’Alessandro L, Pinna AD (2007) Immune response to small intestinal submucosa (Surgisis) implant in humans: preliminary observations. J Invest Surg 20(4):237–241PubMedCrossRef
17.
Badylack SF (2002) The extracellular matrix as a scaffold for tissue reconstruction. Semin Cell Dev Biol 13:377–383CrossRef
18.
Edelman DS, Hodde JP (2006) Bioactive prosthetic material for treatment of hernias. Surg Technol Int 15:104–108PubMed
19.
Edelman DS, Selesnick H (2006) “Sports” hernia: treatment with biologic mesh (Surgisis): a preliminary study. Surg Endosc 20:971–973PubMedCrossRef
20.
Helton WS, Fisichella PM, Berger R, Horgan S, Espat NJ, Abcarian H (2005) Short-term outcomes with small intestinal submucosa for ventral abdominal hernia. Arch Surg 140:549–562PubMedCrossRef
21.
Konstantinovic ML, Lagae P, Zheng F, Verbeken EK, De Ridder D, Deprest JA (2005) Comparison of host response to polypropylene and non-cross-linked porcine small intestine serosal-derived collagen implants in a rat model. BJOG 112(11):1554–1560PubMedCrossRef
22.
Oelschlager BK, Pellegrini CA, Hunter J, Soper N, Brunt M, Sheppard B, Jobe B, Polissar N, Mitsumori L, Nelson J, Swanstrom L (2006) Biologic prosthesis reduces recurrence after laparoscopic paraesophageal hernia repair: a multicenter, prospective, randomized trial. Ann Surg 244(4):481–490PubMed
23.
Fine AP (2006) Laparoscopic repair of inguinal hernia using Surgisis mesh and fibrin sealant. JSLS 10(4):461–465PubMed
24.
Gagliardi S, Ansaloni L, Catena F, Gazzotti F, D’Alessandro L, Pinna AD (2007) Hernioplasty with Surgisis inguinal hernia matrix (IHM). Surg Technol Int 16:128–133PubMed
25.
Franklin ME Jr, Gonzalez JJ Jr, Glass JL (2004) Use of porcine small intestinal submucosa as a prosthetic device for laparoscopic repair of hernias in contaminated fields: 2-year follow-up. Hernia 8:186–189PubMed
26.
Gupta A, Zahriya K, Mullens PL, Salmasi S, Keshishian A (2006) Ventral herniorrhaphy: experience with two different biosynthetic mesh materials, Surgisis and Alloderm. Hernia 10:419–425PubMedCrossRef
27.
Hodde J (2006) Extracellular matrix as a bioactive material for soft tissue reconstruction. ANZ J Surg 76(12):1096–1100PubMedCrossRef
28.
Fitzgibbons RJ Jr (2005) Can we be sure polypropylene mesh causes infertility? Ann Surg 241(4):559–561PubMedCrossRef
Metadata
Title
Transabdominal laparoscopic inguinal hernia repair: is there a place for biological mesh?
Authors
F. Agresta
N. Bedin
Publication date
01-12-2008
Publisher
Springer-Verlag
Published in
Hernia / Issue 6/2008
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-008-0390-0

Other articles of this Issue 6/2008

Hernia 6/2008 Go to the issue

Case Report

Postherniotomy dysejaculation: successful treatment with mesh removal and nerve transection

Original Article

Re-operation due to severe late-onset persisting groin pain following anterior inguinal hernia repair with mesh

Case Report

Laparoscopic management of paraduodenal hernias: mesh and mesh-less repairs. A report of four cases

Case Report

Incarcerated massive incisional hernia: extensive necrosis of the colon in a very obese patient. Surgical treatment and vacuum-assisted closure therapy: a case report

Original Article

Inguinal hernia repair in the anticoagulated patient: a retrospective analysis

Original Article

Predicting chronic post-operative pain following laparoscopic inguinal hernia repair