title: Mid-Term Follow Up of TAPP Hernia Repair Without Staples and Glue: An Audit of the Data.
abstract: Groin hernia repair by using the laparoscopic transabdominal preperitoneal (TAPP) repair approach presents lower post-operative pain with a quicker return to normal patient activity compared to the open technique. Nevertheless, the long learning curve, general anaesthesia, and increased costs due to devices are the arguments against TAPP. Currently, the only mesh fixation techniques are those using glue or tacks. We report the audit of two years follow-up about our experience using a self-gripping lightweight mesh Parietex ProGrip™ (Covidien, Trevoux, France). The records of 39 patients for the first 50 procedures were reported. We registered wound infection, hematoma, seroma, neuralgia, numbness, and recurrence. In our opinion, TAPP procedure with ProGrip™ mesh is a feasible procedure without using fixation devices; costs, chronic pain and recovery are improved. Moreover, in the medium-term follow-up, we are able to reduce foreign body sensation and numbness.
authors.affiliation: University of Bari, Bari, Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Piccinni
authors.affiliation: AOU Policlinic of Bari, Bari, Italy.
authors.forename: Giuseppe Massimiliano
authors.initials: GM
authors.lastname: De Luca
authors.affiliation: University of Bari, Bari, Italy.
authors.forename: Alessandro
authors.initials: A
authors.lastname: De Luca
authors.affiliation: University of Bari, Bari, Italy.
authors.forename: Simone
authors.initials: S
authors.lastname: Giungato
authors.affiliation: University of Bari, Bari, Italy.
authors.forename: Mario
authors.initials: M
authors.lastname: Testini
mesh_terms: D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006552:Hernia, Inguinal / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods* / Q000592:standards*; D006801:Humans; D008297:Male; D008485:Medical Audit; D008875:Middle Aged; D061646:Operative Time; D010149:Postoperative Pain; D012189:Retrospective Studies