Our Summary

This study looks at the early results of a new method for fixing hernias. This approach is intended to be cheaper and safer than current methods while still being effective. The technique, called “transfascial suture fixation” or TRANSFIX, was used in hernia repairs at a medical center between March 2017 and March 2018. It involves puncturing a certain tissue layer with a reusable device, threading a special material through a mesh, and tying it off at the layer of fat just under the skin.

In the first year it was used, 16 TRANSFIX procedures were performed, all on men around 63 years old. Most of the hernias were first-time occurrences, and most were a specific type of hernia called a “direct” hernia. The average surgery time was about 42 minutes for a single-sided repair and about 73 minutes for a double-sided repair. Average blood loss was very low. One patient developed a fluid-filled cavity after surgery, but at follow-up visits, no patients had persistent pain, wound infections, blood clots, or recurring hernias. The cost of the necessary tools for each surgery was reduced by $150 to $300. The researchers conclude that TRANSFIX seems to be a safe and cost-effective way to fix hernias.

FAQs

  1. What is the transfix method used in hernia repairs?
  2. What were the results of the TRANSFIX procedures performed between March 2017 and March 2018?
  3. How does the cost of the TRANSFIX procedure compare to other hernia repair methods?

Doctor’s Tip

A doctor might tell a patient undergoing laparoscopic hernia repair to follow their post-operative instructions carefully, including taking prescribed pain medication as directed, avoiding heavy lifting or strenuous activities for a certain period of time, and keeping the incision site clean and dry. They may also advise the patient to eat a healthy diet and stay hydrated to aid in the healing process. It is important for the patient to attend all follow-up appointments to ensure proper healing and to address any concerns or complications that may arise.

Suitable For

Patients who are typically recommended for laparoscopic hernia repair include those with:

  • Inguinal hernias
  • Femoral hernias
  • Ventral or incisional hernias
  • Recurrent hernias
  • Patients who are at a higher risk for complications with traditional open hernia repair techniques

It is important for patients to discuss their specific situation with their healthcare provider to determine if laparoscopic hernia repair is the best option for them.

Timeline

  • Patient experiences symptoms of a hernia, such as pain or a bulge in the affected area
  • Patient visits a healthcare provider for evaluation and diagnosis
  • Patient undergoes pre-operative testing and consultations with the surgical team
  • Patient schedules a date for laparoscopic hernia repair surgery
  • Patient follows pre-operative instructions, such as fasting before surgery
  • Patient undergoes laparoscopic hernia repair surgery using the TRANSFIX technique
  • Patient is monitored in the recovery room and then discharged home the same day or the next day
  • Patient follows post-operative instructions, such as taking pain medication and avoiding strenuous activities
  • Patient attends follow-up appointments to monitor their recovery and check for any complications
  • Patient resumes normal activities and experiences improvement in hernia symptoms
  • Patient has no persistent pain, wound infections, blood clots, or recurring hernias at follow-up visits
  • Patient benefits from the cost-effective and safe nature of the TRANSFIX technique for hernia repair.

What to Ask Your Doctor

  1. What is the success rate of TRANSFIX compared to traditional methods of hernia repair?
  2. What are the potential risks and complications associated with TRANSFIX?
  3. Is TRANSFIX suitable for all types of hernias, or are there certain criteria that need to be met?
  4. What is the recovery process like after undergoing a TRANSFIX procedure?
  5. How long will it take for me to return to normal activities after having a TRANSFIX procedure?
  6. Are there any long-term effects or considerations to keep in mind with TRANSFIX?
  7. How many procedures have you personally performed using the TRANSFIX technique?
  8. Are there any specific lifestyle changes or precautions I should take after undergoing a TRANSFIX procedure?
  9. Are there any alternative treatment options for hernia repair that I should consider?
  10. What is the cost difference between TRANSFIX and traditional hernia repair methods, and will my insurance cover this procedure?

Reference

Authors: Chan SB. Journal: Asian J Endosc Surg. 2020 Apr;13(2):246-249. doi: 10.1111/ases.12715. Epub 2019 May 16. PMID: 31099180