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JSLS. 2013 Oct-Dec;17(4):560-4. doi: 10.4293/108680813X13693422520044.

Suture versus tack fixation of mesh in laparoscopic umbilical hernia repair.

Author information

1
Department of Surgery, Mount Sinai Hospital, New York, NY, USA.
2
Department of Surgery, Mount Sinai Hospital, One Gustave L. Levy Place, Box 1259, 5th Floor, New York, NY 10029. Celia.Divino@mountsinai.org.

Abstract

BACKGROUND AND OBJECTIVES:

Mesh fixation in laparoscopic umbilical hernia repair is poorly studied. We compared postoperative outcomes of laparoscopic umbilical hernia repair in suture versus tack mesh fixation.

METHODS:

Patients who underwent laparoscopic umbilical hernia repair were separated by method of mesh fixation: sutures versus primarily tacks. Medical history and follow-up data were collected through medical records. The primary outcome of this study was the recurrence rates of hernias. Postoperative major and minor complications, such as surgical site infection, small-bowel obstruction, and seroma formation, were regarded as secondary outcomes. Additionally, a telephone interview was conducted to assess postoperative pain, recovery time, and overall patient satisfaction.

RESULTS:

Eighty-six patients were identified: 33 in the suture group and 53 in the tacks group. The number of emergent cases was increased in the tacks group (6 vs 0; P = .022). Mean follow-up time was 2.7 years for both groups. Documented postoperative follow-up was obtained in 29 (90%) suture group and 31 (58%) tacks group patients. Hernia recurrence occurred in 3 and 2 patients in the sutures and tacks groups, respectively (P was not significant). No differences were found in secondary outcomes, including subjective outcomes from telephone interviews, between groups.

CONCLUSIONS:

There are no differences in postoperative complication rates in suture versus tack mesh fixation in laparoscopic umbilical hernia repair.

PMID:
24398197
PMCID:
PMC3866059
DOI:
10.4293/108680813X13693422520044
[Indexed for MEDLINE]
Free PMC Article

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