Our Summary

This study aimed to compare the outcomes of using absorbable versus non-absorbable tacks in patients having a certain type of hernia repair surgery. The researchers conducted a systematic review of various databases and studies to gather their data. They found that both types of tacks resulted in similar outcomes for patients, with no significant differences in hernia recurrence, chronic pain, or other complications. However, surgeries using absorbable tacks took longer on average. The quality of the evidence they found was moderate, and the researchers concluded that more high-quality studies are needed to make a more definitive conclusion. They also suggested that future studies should consider the cost-effectiveness of each type of tack, as this could be an important factor in deciding which one to use.

FAQs

  1. Did the study find any significant differences in patient outcomes when using absorbable versus non-absorbable tacks in hernia repair surgery?
  2. What was the quality of the evidence found in the systematic review of the use of absorbable and non-absorbable tacks in hernia repair?
  3. What factors did the researchers suggest should be considered in future studies about the use of absorbable and non-absorbable tacks in hernia repair surgeries?

Doctor’s Tip

A doctor might advise a patient undergoing laparoscopic hernia repair to follow post-operative care instructions carefully, including avoiding heavy lifting, staying hydrated, and taking prescribed pain medication as needed. It is also important to follow up with the healthcare provider for any concerns or complications that may arise. Additionally, the patient should be aware of the potential risks and benefits of using absorbable versus non-absorbable tacks in their surgery and discuss these options with their surgeon.

Suitable For

Patients who are typically recommended for laparoscopic hernia repair include those with inguinal hernias, umbilical hernias, femoral hernias, and incisional hernias. These patients may experience symptoms such as pain, discomfort, and bulging in the affected area. Laparoscopic hernia repair is often recommended for patients who are healthy enough to undergo surgery and have a lower risk of complications. It is a minimally invasive procedure that typically results in faster recovery times and less post-operative pain compared to traditional open hernia repair surgery.

Timeline

Before laparoscopic hernia repair:

  1. Patient consults with a healthcare provider and undergoes a physical examination to determine the need for surgery.
  2. Pre-operative testing, such as blood tests and imaging scans, may be conducted to assess the hernia and the patient’s overall health.
  3. The patient may be advised to stop taking certain medications or to follow specific dietary restrictions in the days leading up to the surgery.

During laparoscopic hernia repair:

  1. The patient is placed under general anesthesia.
  2. Small incisions are made in the abdomen, through which a laparoscope and surgical instruments are inserted.
  3. The hernia is located, and a mesh patch is used to reinforce the weakened abdominal wall.
  4. Tacks or sutures may be used to secure the mesh in place.

After laparoscopic hernia repair:

  1. The patient is monitored in a recovery area before being discharged home on the same day or the following day.
  2. Pain medication and instructions for wound care are provided to the patient.
  3. Follow-up appointments may be scheduled to monitor the healing process and address any concerns or complications.
  4. The patient is advised to avoid strenuous activities and heavy lifting for a period of time to allow for proper healing.

What to Ask Your Doctor

  1. What are the benefits of laparoscopic hernia repair compared to traditional open surgery?
  2. What is the success rate of laparoscopic hernia repair in terms of hernia recurrence?
  3. What is the expected recovery time after laparoscopic hernia repair surgery?
  4. What are the potential risks and complications associated with laparoscopic hernia repair?
  5. How long do absorbable tacks typically last in the body compared to non-absorbable tacks?
  6. What factors should be considered when deciding between absorbable and non-absorbable tacks for hernia repair?
  7. How does the cost of absorbable tacks compare to non-absorbable tacks, and how does this factor into the decision-making process?
  8. Are there any specific dietary or lifestyle changes that I should make before or after the surgery to optimize my recovery?
  9. What is the follow-up plan after the surgery, and how often will I need to see my doctor for check-ups?
  10. Are there any specific signs or symptoms that I should watch out for after the surgery that may indicate a complication?

Reference

Authors: Khan RMA, Bughio M, Ali B, Hajibandeh S, Hajibandeh S. Journal: Int J Surg. 2018 May;53:184-192. doi: 10.1016/j.ijsu.2018.03.042. Epub 2018 Mar 22. PMID: 29578094