Hernia : the journal of hernias and abdominal wall surgery
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Randomized Controlled Trial Comparative Study
Comparison of mesh fixation and non-fixation in laparoscopic totally extraperitoneal inguinal hernia repair.
The purpose of this study was to compare laparoscopic total extraperitoneal (TEP) hernia repair procedures with or without mesh fixation for non-recurrent inguinal hernia. ⋯ Fixation of the mesh to the abdominal wall has been associated with various postoperative complications for no additional benefit in lowering recurrence rates. For non-recurrent inguinal hernia, non-fixation of the mesh is safe and reliable. Further studies with larger sample sizes are necessary for subgroup analyses.