Our Summary

This research paper investigates whether using a mesh to repair an inguinal hernia (a common type of hernia in the groin area) without attaching it (non-fixation) makes any difference to the success of the operation compared to attaching it (fixation). The researchers looked at previous studies and trials involving patients who had had this type of surgery. They found no significant difference in the rate of the hernia recurring (coming back) between the two methods. They also found that patients who had the non-fixation method experienced less pain six months after the operation. There was no significant difference in the time it took patients to return to their normal activities or in the rates of infection or fluid buildup (seroma formation) between the two groups. The researchers conclude that not attaching the mesh doesn’t affect the success of the surgery and may actually lead to less pain afterwards for patients with small hernias (less than 3cm).

FAQs

  1. Does the use of non-fixation versus fixation of mesh in inguinal hernia repair surgery affect the success rate of the operation?
  2. Is there a difference in the level of post-operative pain experienced by patients who undergo non-fixation versus fixation of mesh in inguinal hernia repair surgery?
  3. Does the choice of non-fixation versus fixation of mesh in inguinal hernia repair surgery impact the patient’s recovery time and risk of infection or fluid buildup?

Doctor’s Tip

A doctor may tell a patient undergoing laparoscopic hernia repair that using a mesh without attaching it may lead to less pain post-surgery, particularly for small hernias. They may also mention that there is no significant difference in the success rate of the surgery between the non-fixation and fixation methods.

Suitable For

Patients who are typically recommended for laparoscopic hernia repair include those with inguinal hernias, umbilical hernias, incisional hernias, and femoral hernias. Additionally, patients who are physically fit and able to undergo general anesthesia are good candidates for this minimally invasive surgical procedure. It is important for patients to discuss their specific medical history and hernia characteristics with their healthcare provider to determine if laparoscopic hernia repair is the best option for them.

Timeline

  • Before laparoscopic hernia repair:
  1. Patient experiences symptoms of a hernia such as a bulge in the groin area, pain or discomfort, or a feeling of heaviness.
  2. Patient consults with a doctor who confirms the diagnosis of a hernia through physical examination and possibly imaging tests.
  3. Doctor recommends laparoscopic hernia repair as a minimally invasive surgical option for treatment.
  4. Patient undergoes pre-operative preparations such as fasting and stopping certain medications.
  5. Patient receives general anesthesia before the surgery.
  • After laparoscopic hernia repair:
  1. Patient wakes up in the recovery room after the surgery.
  2. Patient may experience some pain and discomfort at the incision sites, but this is typically managed with pain medication.
  3. Patient is monitored for any complications such as infection or bleeding.
  4. Patient is usually able to go home the same day or the day after the surgery.
  5. Patient is advised to rest and avoid heavy lifting or strenuous activities for a few weeks.
  6. Patient follows up with the doctor for post-operative care and monitoring.
  7. Patient gradually resumes normal activities and may experience less pain compared to traditional open hernia repair methods.
  8. Patient may have a follow-up appointment to ensure the hernia has healed properly and to address any concerns or complications.

What to Ask Your Doctor

  1. What is laparoscopic hernia repair and how does it differ from traditional open surgery?
  2. Am I a candidate for laparoscopic hernia repair?
  3. What are the potential risks and complications associated with this type of surgery?
  4. How long will the surgery take and what is the recovery time?
  5. Will I need to stay in the hospital overnight or can I go home the same day?
  6. Will I need to follow a special diet or take any medications before or after the surgery?
  7. How long will I need to wait before I can return to work or resume normal activities?
  8. Will I need physical therapy or rehabilitation after the surgery?
  9. What are the chances of the hernia recurring after laparoscopic repair?
  10. Are there any alternative treatment options available for my hernia?

Reference

Authors: Zhang C, Li J, Suo H, Bai J. Journal: PLoS One. 2024 Dec 6;19(12):e0314334. doi: 10.1371/journal.pone.0314334. eCollection 2024. PMID: 39642172