Prospective randomized study of stapled versus unstapled mesh in a laparoscopic preperitoneal inguinal hernia repair.

@article{Ferzli1999ProspectiveRS,
  title={Prospective randomized study of stapled versus unstapled mesh in a laparoscopic preperitoneal inguinal hernia repair.},
  author={George Ferzli and Ermenegildo Eldo Frezza and Alphonse Pecoraro and Kristin Ahern},
  journal={Journal of the American College of Surgeons},
  year={1999},
  volume={188 5},
  pages={
          461-5
        }
}
BACKGROUND In 1975, researchers introduced the use of a large unsutured polyester mesh prosthesis placed in the preperitoneal space for inguinal hernia repair. Different stapling devices have been used to secure this mesh, and the most common complication of the procedure is nerve damage secondary to the staples. The necessity of stapling has never been demonstrated. We designed a prospective randomized study of the need for stapling in laparoscopic extraperitoneal repair of inguinal hernias… Expand

Paper Mentions

Interventional Clinical Trial
The purpose of the study is 1. To compare the recurrence rate of the laparoscopic total extra peritoneal inguinal hernia repair without fixation of the mesh to mesh… Expand
ConditionsInguinal Hernia
InterventionProcedure
A Randomized Comparison of the Early Outcome of Stapled and Unstapled Techniques of Laparoscopic Total Extraperitoneal Inguinal Hernia Repair
TLDR
Unstapled laparoscopic hernia repair scores are equivalent to their stapled counterparts with respect to recurrence and complications, and no recurrence has been noted at a median follow-up of 23 months. Expand
Laparoscopic inguinal hernia repair without mesh fixation, early results of a large randomised clinical trial
TLDR
Mesh fixation in TEP is associated with increased operative cost and chronic pain but no difference in the risk of hernia recurrence at six months was observed. Expand
Randomized clinical trial of fixation vs nonfixation of mesh in total extraperitoneal inguinal hernioplasty.
TLDR
The results suggest the possibility of limiting the use of mesh fixation in total extraperitoneal inguinal hernioplasty to cases of direct bilateral hernias, and the total cost of the process was higher than expected. Expand
Randomized Clinical Trial of Fixation vs Nonfixation of Mesh in Total Extraperitoneal Inguinal Hernioplasty
TLDR
The results suggest the possibility of limiting the use of mesh fixation in total extraperitoneal inguinal hernioplasty to cases of direct bilateral hernias and show no significant differences with regard to epidemiological factors, hernia type, operating time, morbidity, or recurrences when the mesh was stapled. Expand
Tisseel versus tack staples as mesh fixation in totally extraperitoneal laparoscopic repair of groin hernias
TLDR
Fibrin glue achieved an adequate mesh fixation with a lower incidence of chronic postoperative pain and appears to be an alternative to staples for mesh fixation and may help reduce the postoperativePain problems after hernia repair. Expand
Outcomes on mesh fixation vs non-fixation in laparoscopic totally extra peritoneal inguinal hernia repair: a comparative study.
TLDR
The study recommends non-fixation over fixation as it is feasible, cost-effective, causes less post-operative pain and no differences in terms of recurrences. Expand
Laparoscopic Preperitoneal Inguinal Hernia Repair Using Preformed Polyester Mesh Without Fixation: Prospective Study With 1-year Follow-up Results in a Rural Setting
TLDR
Laroscopic TEP inguinal hernia Repair with preformed PEM without additional fixation can be performed in a rural community hospital setting with minimal long-term postoperative pain and the procedure results are comparable with larger centers with only marginally increased costs over open hernia repair. Expand
A comparative study of mesh fixation versus nonfixation in laparoscopic totally extraperitoneal inguinal hernia repair
© 2019 The Egyptian Journal of Surgery | Published by Background Inguinal hernia repair is one of the most common elective general surgical procedures, and laparoscopic inguinal hernia repair hasExpand
Use of Human Fibrin Glue (Tissucol) Versus Staples for Mesh Fixation in Laparoscopic Transabdominal Preperitoneal Hernioplasty: A Prospective, Randomized Study
TLDR
The use of Tissucol provides distinct advantages in laparoscopic treatment of inguinal/femoral hernias compared with conventional TAPP, including a lower incidence of postoperative neuralgia and an earlier resumption of physical and social activities. Expand
A new approach in laparoscopic repair of inguinal and femoral hernias
TLDR
The results of the study showed that the use of the newly-developed repair technique of plug mesh and vicryl fixation in laparoscopic TEP inguinal hernia repair increased the life quality after surgery. Expand
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