Lichtenstein inguinal herniorrhaphy using sutures versus tacks.
The Lichtenstein hernia repair has become a popular technique for most inguinal hernias performed in the United States. One attempt to improve on this technique includes the use of a tacker instead of suturing the mesh. This study compared the feasibility and time saving for placement of mesh for open inguinal hernias with a tacker versus polypropylene suture.Thirty-four patients were prospectively randomized to undergo open hernia repair using either running 2-0 polypropylene suture or a tacker device that contained spiral titanium tacks. Patients were examined after 1 week and followed for a mean of 8 months (range 1-26 months) to record postoperative complications and technical failure rate. Mesh placement times were significantly shorter in the tacker group (9.0+/-3.5 min) than the suture group (30.9+/-9.9 min). No technical complications or recurrences were found in the follow-up period in either group.Securing mesh with the tacker is safe, and repair appears durable at short-term follow-up. Using the tacker on open inguinal hernia repairs shortens the time for mesh placement compared to suture fixation. Decreased operative time may reduce overall cost.
Douglas
J M
JM
Washington Hospital Center, Washington, DC, USA.
Young
W N
WN
Jones
D B
DB
D000293:Adolescent; D000328:Adult; D000368:Aged; D005240:Feasibility Studies; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013526:Surgical Mesh; D013514:Surgical Procedures, Operative / Q000379:methods*; D013536:Suture Techniques / Q000295:instrumentation*; D013537:Sutures; D013997:Time Factors