Covidien

Abstract:

Groin hernia repair by using the laparoscopic TransAbdominalPrePeritoneal (TAPP) repair approach presents lower post-operative pain with a quicker return to normal patients’ activity compared to the open technique. Nevertheless, the long learning curve, general anesthesia 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™). 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:

Giuseppe Piccinni, MD, Associate Professor of Surgery, University of Bari, Bari, Italy, Giuseppe Massimiliano De Luca, MD, General Surgeon, AOU Policlinic of Bari, Bari, Italy, Alessandro De Luca, MD, Resident in General Surgery, University of Bari, Bari, Italy, Simone Giungato, MD, Resident in General Surgery, University of Bari, Bari, Italy, Mario Testini, MD, Full Professor of Surgery, University of Bari, Bari, Italy

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