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KMID : 1033020220120010001
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Journal of Hemiology: Diagnosis and Treatment of Hernias
2022 Volume.12 No. 1 p.1 ~ p.4
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Mesh Fixation in Laparoscopic Hernia Repair
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Lee Hyung-Soon
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Abstract
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It is critical to use mesh in hernia surgery to prevent a recurrence. In practice, a variety of synthetic meshes and fixation devices have been used, but there is no clear conclusion as to the best choice of mesh and fixation materials. Fixation devices in laparoscopic hernia surgery include sutures, tacks, and fibrin glue or synthetic sealants. The choice of the fixation technique is based on the preference of the surgeon and availability of either methods. However, there has been an ongoing controversy about the optimal method of mesh fixation. Mesh slippage or migration resulting from insufficient fixation is also a cause of recurrence following surgery. Traditional transfascial sutures, which are used for securing mesh, have a high fixation tensile strength, but these materials may result in prolonged operation time and postoperative pain. Although tacks provide high fixation strength and are easy to apply, their use is associated with serious adverse events. Fibrin glue or synthetic sealants are the best technique for reducing recurrence and chronic pain and have a similar risk of complications when compared with the standard metallic tacks. However, fibrin glue or synthetic sealants have a low fixation tensile strength. Therefore, the current article intends to review the method of mesh fixation in laparoscopic hernia repair.
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KEYWORD
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Hernia, Ventral hernia, Incisional hernia, Umbilical hernia, Laparoscope
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FullTexts / Linksout information
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Listed journal information
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