Abstract
Fixation of mesh during minimally invasive inguinal hernia repair is a highly debated topic. The main reason to advocate for fixation is to prevent mesh migration, theoretically decreasing the likelihood of recurrence. The main argument against certain forms of fixation is a risk of acute pain and chronic pain due to fixation into muscles, nerves, and bone. Some surgeons advocate for no fixation at all, while those advocating fixation use many methods including absorbable and permanent forms of sutures, staples, and tacks applied to various structures within the posterior inguinal anatomy. Alternative to penetrating fixation such as surgical glue and self-fixating mesh is also being widely utilized, potentially changing if and how most surgeons fixate mesh in minimally invasive inguinal hernia repair.
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© 2019 Society of American Gastrointestinal and Endoscopic Surgeons (SAGES)
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Yheulon, C., Davis, S.S. (2019). Fixation vs. No Fixation in MIS Inguinal Hernia Repair. In: Davis, Jr., S., Dakin, G., Bates, A. (eds) The SAGES Manual of Hernia Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-78411-3_28
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DOI: https://doi.org/10.1007/978-3-319-78411-3_28
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