Our Summary

This research paper compares two methods of fixing a mesh in place during laparoscopic (minimally invasive) surgery for inguinal and femoral hernias. The two methods are glue and tackers (small surgical staples). The researchers looked at 18 different studies, which included over 2300 patients. They found that using glue to fix the mesh resulted in less pain after surgery and a faster return to normal activities or work. Patients who had their mesh fixed with glue also had a lower risk of developing a hematoma (a swelling of clotted blood within the tissues). The use of special software confirmed these results. The researchers suggest that surgeons should consider the benefits of using glue when discussing the surgery with their patients.

FAQs

  1. What are the two methods of fixing a mesh in place during laparoscopic hernia repair surgery?
  2. What are the benefits of using glue to fix the mesh during laparoscopic hernia repair surgery?
  3. How did the researchers determine that using glue resulted in less pain and a faster return to normal activities after surgery?

Doctor’s Tip

A doctor might tell a patient that using glue to fix the mesh during laparoscopic hernia repair can result in less pain after surgery, a faster recovery, and a lower risk of complications such as hematoma. It is important for patients to discuss this option with their surgeon and consider the potential benefits of using glue in their specific case.

Suitable For

Patients who are recommended for laparoscopic hernia repair typically include those with inguinal and femoral hernias. Inguinal hernias occur in the groin area and are more common in men, while femoral hernias occur in the upper thigh and are more common in women.

Patients who are relatively healthy and have a lower risk of complications are good candidates for laparoscopic hernia repair. This may include younger patients, patients without significant medical comorbidities, and patients who do not have a history of previous abdominal surgeries.

Additionally, patients who are looking for a faster recovery time and less post-operative pain may also be recommended for laparoscopic hernia repair. The use of glue to fix the mesh in place may be especially beneficial for these patients, as it has been shown to result in less pain and a quicker return to normal activities.

Overall, the decision to recommend laparoscopic hernia repair will depend on the individual patient’s specific circumstances and should be discussed with their healthcare provider.

Timeline

Before laparoscopic hernia repair:

  1. Patient may experience symptoms of a hernia, such as a bulge in the groin area, pain or discomfort, and difficulty lifting or straining.
  2. Consultation with a healthcare provider to diagnose the hernia and discuss treatment options.
  3. Pre-operative preparation, which may include fasting, medication adjustments, and discussion of potential risks and benefits of surgery.

After laparoscopic hernia repair:

  1. Patient undergoes laparoscopic surgery, during which small incisions are made in the abdomen and a mesh is placed over the hernia to strengthen the abdominal wall.
  2. Recovery period, during which the patient may experience pain, swelling, and discomfort at the surgical site.
  3. Follow-up appointments with the surgeon to monitor healing and address any complications or concerns.
  4. Gradual return to normal activities and work, potentially faster for patients who had their mesh fixed with glue rather than tackers.
  5. Long-term follow-up to ensure the hernia does not recur and to address any lingering symptoms.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with laparoscopic hernia repair using glue or tackers?
  2. How long does the procedure typically take and what is the recovery time?
  3. Are there any specific post-operative care instructions or restrictions I should follow?
  4. How long will the mesh stay in place and are there any long-term complications I should be aware of?
  5. Will I need any follow-up appointments or tests after the surgery?
  6. How experienced are you with performing laparoscopic hernia repair using glue or tackers?
  7. Are there any alternative treatment options for my hernia that I should consider?
  8. How do the costs compare between the two methods of fixing the mesh in place?
  9. What are the success rates of laparoscopic hernia repair using glue vs. tackers in terms of preventing hernia recurrence?
  10. Can you provide me with any additional information or resources to help me make an informed decision about my treatment options?

Reference

Authors: Kitching S, Patel A, Tan J, Kadamapuzah J, Satyadas T. Journal: Hernia. 2025 Apr 5;29(1):134. doi: 10.1007/s10029-025-03315-w. PMID: 40186768