title: Mesh fixation in TAPP laparoscopic hernia repair: introduction of a new method in a prospective randomized trial.
abstract: BACKGROUND
  Mesh fixation is a critical step in TAPP laparoscopic hernia repair because tackers used for this purpose are associated with possible neuralgia.
  
  
  METHODS
  For the present study, 70 patients referred with unilateral inguinal or femoral hernia were divided in two groups for hernia repair. In first group mesh was fixed with titanium tacker. In the second group mesh was fixed with a single suture of Vicryl.
  
  
  RESULTS
  Patients in the Vicryl group experienced less postoperative pain and analgesic consumption. Six month follow-up demonstrated no hernia recurrence either.
  
  
  CONCLUSIONS
  According to results, use of Vicryl suture instead of a titanium tacker is beneficial owing to reduced pain, less analgesic consumption, and lower cost.
authors.affiliation: Department of General & Laparoscopic Surgery, Isfahan University of Medical Sciences, Esfahan, Iran.
authors.forename: Behrooz
authors.initials: B
authors.lastname: Kleidari
authors.forename: Mohsen
authors.initials: M
authors.lastname: Mahmoudieh
authors.forename: Mohammad
authors.initials: M
authors.lastname: Yaribakht
authors.forename: Zhila
authors.initials: Z
authors.lastname: Homaei
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006550:Hernia, Femoral / Q000601:surgery*; D006552:Hernia, Inguinal / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D013526:Surgical Mesh; D013536:Suture Techniques / Q000295:instrumentation*; D013537:Sutures; D016896:Treatment Outcome; D055815:Young Adult