Nonfixation of Mesh In Laparoscopic Totally Extraperitoneal Inguinal Hernia Repair: A Single-Center Experience
Abstract Background: In terms of the need for mesh fixation in total extraperitoneal inguinal hernia repair (TEP), overseas data revealed no significant difference in the recurrence rate between patients with and without fixation. Moreover, there is no information available on this treatment outcome from Japan. We aimed to analyze the outcomes of nonfixation TEP with those of fixation at our institute.Methods: In May 2016, the nonfixation TEP technique was launched. The fixation group (165 patients) was compared to the nonfixation group (195 patients). Bilateral, large, and impaction cases were eliminated from the corrective comparison, and the outcomes for the fixation group (80 patients) and the non-fixation group (111 patients) were compared.Results: One patient in the nonfixation group experienced recurrence. It was a hernia case with a large orifice. In the fixation group, seroma was more prevalent. There was no recurrence and no significance in surgical complications in the correction comparison. The nonfixation group had a shorter operation time and stayed in the hospital for a shorter period after surgery.Conclusions: The nonfixation TEP was deemed adequate, at least for typical hernia cases.