title: Outcomes of slit mesh in laparoscopic totally extraperitoneal inguinal hernia repair: Does it affect recurrence?
abstract: BACKGROUND
  The aim of this study was to compare outcomes between slit and non-slit mesh placement in laparoscopic totally extraperitoneal inguinal hernia repair.
  
  
  METHODS
  This is a retrospective study of 113 patients who underwent laparoscopic totally extraperitoneal inguinal hernia repair with Ultrapro mesh between January 2010 and December 2011. Sixty-two and 82 hernias were operated on in the slit mesh and non-slit mesh groups, respectively. Postoperative complications, recurrence, and patient satisfaction levels were evaluated.
  
  
  RESULTS
  One hernia in the slit mesh group (1/62, 1.6%) and one in the non-slit mesh group (1/82, 1.2%) developed recurrence (P = 1.00). The incidence of postoperative neuralgia was 4/62 (6.5%) and 7/82 (8.5%) in the slit mesh and non-slit mesh groups, respectively (P = 0.76). Satisfaction rates in the slit mesh and non-slit mesh groups were similar at 60/62 (96.8%) and 80/82 (97.6%), respectively (P = 1.00).
  
  
  CONCLUSIONS
  No significant differences in outcomes were found between slit and non-slit mesh placement. Both have low complication rates, low recurrence rates, and high satisfaction levels.
authors: Department of General Surgery, Tan Tock Seng Hospital, Singapore, Singapore.
authors: Clement Lk
authors: CL
authors: Chia
authors: Department of General Surgery, Tan Tock Seng Hospital, Singapore, Singapore.
authors: Jun
authors: J
authors: Su
authors: Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
authors: Yingmin
authors: Y
authors: Hoe
authors: Department of General Surgery, Tan Tock Seng Hospital, Singapore, Singapore.
authors: Vishal G
authors: VG
authors: Shelat
authors: Department of General Surgery, Tan Tock Seng Hospital, Singapore, Singapore.
authors: Sameer P
authors: SP
authors: Junnarkar
authors: Department of General Surgery, Tan Tock Seng Hospital, Singapore, Singapore.
authors: Jeekeem
authors: J
authors: Low
authors: Department of General Surgery, Tan Tock Seng Hospital, Singapore, Singapore.
authors: Winston Wl
authors: WW
authors: Woon
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006552:Hernia, Inguinal / Q000601:surgery*; D059685:Herniorrhaphy / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D011183:Postoperative Complications / Q000453:epidemiology; D012008:Recurrence; D012189:Retrospective Studies; D013526:Surgical Mesh; D016896:Treatment Outcome
keywords: Hernia; laparoscopy totally extraperitoneal repair; slit mesh