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Gallyamov E.A.

Sechenov First Moscow State Medical University

Agapov M.A.

Lomonosov Moscow State University

Busyrev Yu.B.

Sechenov First Moscow State Medical University (Sechenov University)

Kakotkin V.V.

Lomonosov Moscow State University

Kubyshkin V.A.

Lomonosov Moscow State University

Donchenko K.A.

Lomonosov Moscow State University

Gadlevskiy G.S.

Sechenov First Moscow State Medical University (Sechenov University)

Wu Z.

Sechenov First Moscow State Medical University (Sechenov University)

Outcomes of various techniques of mesh prosthesis fixation in laparoscopic hernia repair

Authors:

Gallyamov E.A., Agapov M.A., Busyrev Yu.B., Kakotkin V.V., Kubyshkin V.A., Donchenko K.A., Gadlevskiy G.S., Wu Z.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2021;(1): 34‑41

DOI: 10.17116/hirurgia202101134

Views: 4362

Downloaded: 195

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Table of contents

To cite this article:

Gallyamov EA, Agapov MA, Busyrev YuB, et al. . Outcomes of various techniques of mesh prosthesis fixation in laparoscopic hernia repair. Pirogov Russian Journal of Surgery. 2021;(1):34‑41. (In Russ.)
https://doi.org/10.17116/hirurgia202101134

Подписка 2025 (Pirogov Russian Journal of Surgery)
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OBJECTIVE

To compare early and long-term results of various mesh prosthesis fixation methods in laparoscopic inguinal hernia repair.

MATERIAL AND METHODS

It is a prospective clinical non-randomized trial. The study included 212 patients. Conventional stapler fixation (112 patients), self-gripping mesh implants (48 patients) and n-butyl cyanoacrylate adhesive fixation (52 patients) were compared. We estimated surgery time, pain syndrome severity in early and long-term postoperative period, postoperative morbidity and recurrence rate were evaluated.

RESULTS

Early postoperative morbidity, activation of patients and hospital-stay were similar in all groups. Pain syndrome within 6 postoperative hours in the first group exceeded the same parameter in the second group by 1.23 times (95% CI 1.15—1.31, p<0.05) and by 1.19 times in the third group (95% CI 1.12—1.26, p<0.05). Within 12 hours, pain syndrome in the first group was 1.27 times more severe compared to the third group (95% CI 1.20—1.34, p<0.05). Pain syndrome in long-term period was similar in all groups. In the first group, one recurrence was detected (0.9%).

CONCLUSION

There were no significant between-group differences. However, we found the correlation of postoperative pain syndrome with mesh implant fixation technique.

Keywords:

inguinal hernia
laparoscopic hernia repair
TAPP
TEP
mesh implant fixation

Authors:

Gallyamov E.A.

Sechenov First Moscow State Medical University

Agapov M.A.

Lomonosov Moscow State University

Busyrev Yu.B.

Sechenov First Moscow State Medical University (Sechenov University)

Kakotkin V.V.

Lomonosov Moscow State University

Kubyshkin V.A.

Lomonosov Moscow State University

Donchenko K.A.

Lomonosov Moscow State University

Gadlevskiy G.S.

Sechenov First Moscow State Medical University (Sechenov University)

Wu Z.

Sechenov First Moscow State Medical University (Sechenov University)

Received:

25.01.2020

Accepted:

15.02.2020

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