Early Postoperative Complications of Suture Versus Endotacker Mesh Fixation in Laparoscopic Hernia Repair

Authors

Maham Qazi Azra Naheed Medical College
Danyal Anwar Shiraz Azra Naheed Medical College
Muhammad Shoaib Azra Naheed Medical College
Ahmed Siddique Ammar Azra Naheed Medical College
Humaira Alam Azra Naheed Medical College
Fawad Hameed Azra Naheed Medical College

DOI:

https://doi.org/10.51273/esc25.251321129

Keywords:

Ventral Hernia, Wound Infection, Hematoma, Seroma, seroma formation

Abstract

Abstract
Objective: To compare difference in early postoperative complications like postoperative pain, wound
infection, Hematoma formation and Seroma formation in LVHR done with sutures versus tackers.
Material and Methods: This Cross sectional study was conducted in Azra Naheed Medical College, Surgical
Department from 1st September 2020 to 30th August 2023. Data was analysed with statistical analysis
program (SPSS version 20). P value of ≤0.05 was considered significant.
Results: In the suture fixation group (A) there were 42 females and 18 males while in the tacker fixation
group (B) there were 45 females and 15 males. Mean hospital Stay of group A was 2.8±1.3 days whereas,
group B was of 2.6±1.3 days with a p value of 0.4. Foreign body sensation was significantly higher in group A
however there was no difference between the two groups in terms of wound infection, hematoma formation
and post operative pain.
Conclusion: Foreign body sensation was high in LVWH repair of patients with sutured mesh fixation with p
value of 0.01 making it statistically significant as compared to patients who underwent mesh fixation with
endotracker.
Keywords: Ventral Hernia, Wound Infection, Hematoma, Seroma, Mesh, Pain.
How to cite: Qazi M, Shiraz DA, Shoaib M, Ammar AS, Alam H, Hameed F. Early Postoperative Complications of
Suture Versus Endotacker Mesh Fixation in Laparoscopic Hernia Repair.. Esculapio - JSIMS 2025;21(01): 163-167
DOI: https://doi.org/10.51273/esc25.251321129

Author Biographies

Danyal Anwar Shiraz, Azra Naheed Medical College

Assistant Professor,Surgical Oncology, Azra Naheed Medical College, Lahore

Muhammad Shoaib, Azra Naheed Medical College

Muhammad Shoaib, Professor of Surgery , Azra Naheed Medical College

References

Krpata DM, Petro CC, Prabhu AS, Tastaldi L, Zolin S, Fafaj A, Rosenblatt S, Poulose BK, Pierce RA, Warren JA, Carbonell AM. Effect of hernia mesh weights on postoperative pa-tient-related and clinical outcomes after open ventral hernia repair: a randomized clinical trial. JAMA surgery. 2021 Dec 1;156(12):1085-92. doi: 10.1001/jamasurg.2021.4309

Köckerling F, Hoffmann H, Adolf D, Reinpold W, Kirchhoff P, Mayer F, Weyhe D, Lam-mers B, Emmanuel K. Potential influencing factors on the outcome in incisional hernia re-pair: a registry-based multivariable analysis of 22,895 patients. Hernia. 2021 Feb;25:33-49. DOI: 10.1007/s10029-020-02184-9

Li J, Wang Y, Wu L. The comparison of eTEP and IPOM in ventral and incisional hernia repair: a systematic review and meta-analysis. Surgical Laparoscopy Endoscopy & Percuta-neous Techniques. 2022 Apr 1;32(2):252-8. DOI: 10.1097/SLE.0000000000001035

Haladu NU, Alabi A, Brazzelli M, Imamura M, Ahmed I, Ramsay G, Scott NW. Open versus laparoscopic repair of inguinal hernia: an overview of systematic reviews of randomised controlled trials. Surgical endoscopy. 2022 Jul;36(7):4685-700. DOI: 10.1007/s00464-022-09161-6

Klein D, Barutcu AG, Kröll D, Kilian M, Pratschke J, Raakow R, Raakow J. Randomized controlled trial of single incision versus conventional multiport laparoscopic cholecystecto-my with long-term follow-up. Langenbeck's Archives of Surgery. 2020 Aug;405:551-61. DOI: 10.1007/s00423-020-01911-1

Pogson-Morowitz K, Porras Fimbres D, Barrow BE, Oleck NC, Patel A. Contemporary Ab-dominal Wall Reconstruction: Emerging Techniques and Trends. Journal of Clinical Medi-cine. 2024 May 13;13(10):2876. DOI: 10.3390/jcm13102876

Köckerling F, Lammers B, Weyhe D, Reinpold W, Zarras K, Adolf D, Riediger H, Krüger CM. What is the outcome of the open IPOM versus sublay technique in the treatment of larger incisional hernias?: A propensity score-matched comparison of 9091 patients from the Herniamed Registry. Hernia. 2021 Feb;25:23-31. DOI: 10.1007/s10029-020-02143-4

Parker SG, Halligan S, Berrevoet F, de Beaux AC, East B, Eker HH, Jensen KK, Jorgensen LN, Montgomery A, Morales-Conde S, Miserez M. Reporting guideline for interventional trials of primary and incisional ventral hernia repair. British Journal of Surgery. 2021 Sep 1;108(9):1050-5. DOI: 10.1093/bjs/znab157

Aiolfi A, Bona D, Gambero F, Sozzi A, Bonitta G, Rausa E, Bruni PG, Cavalli M, Campan-elli G. What is the ideal mesh location for incisional hernia prevention during elective lapa-rotomy? A network meta-analysis of randomized trials. International Journal of Surgery. 2023 May 1;109(5):1373-81. DOI: 10.1097/JS9.0000000000000250

Sharabiany S, Brouwer TP, Kreisel SI, Musters GD, Blok RD, Hompes R, Tanis PJ. Mesh, flap or combined repair of perineal hernia after abdominoperineal resection–A systematic review and meta‐analysis. Colorectal Disease. 2022 Nov;24(11):1285-94. doi: 10.1111/codi.16224

He C, Lu J, Ong MW, Lee DJ, Tan KY, Chia CL. Seroma prevention strategies in laparoscopic ventral hernia repair: a systematic review. Hernia. 2020 Aug;24:717-31. DOI: 10.4103/jmas.JMAS_146_19

Sharma A, Sinha C, Baijal M, Soni V, Khullar R, Chowbey P. Hybrid approach for ventral incisional hernias of the abdominal wall: a systematic review of the literature. Journal of Minimal Access Surgery. 2021 Jan 1;17(1):7-13. DOI: 10.4103/jmas.JMAS_146_19

Siemssen B, Dahlke PM, Behrens F, Hentschel F, Ibach MJ. Medium term (> 12 months) outcomes after laparoscopic hiatal hernia repair without conventional fundoplication using PH4B-mesh implant in 176 reflux patients: experience and technique. Hernia. 2024 Apr 8:1-7. doi: 10.1007/s10029-024-02999-w.

Campanile FC, Podda M, Pecchini F, Inama M, Molfino S, Bonino MA, Ortenzi M, Silecchia G, Agresta F, Cinquini M. Laparoscopic treatment of ventral hernias: the Italian national guidelines. Updates in Surgery. 2023 Aug;75(5):1305-36. doi: 10.1007/s13304-023-01534-3

Beckers Perletti L, Spoelders F, Berrevoet F. Association between surgical hernia repair techniques and the incidence of seroma: a systematic review and meta-analysis of random-ized controlled trials. Hernia. 2022 Feb 1:1-3. DOI: 10.1007/s10029-021-02531-4

Bhardwaj P, Huayllani MT, Olson MA, Janis JE. Year-over-year ventral hernia recurrence rates and risk factors. JAMA surgery. 2024 Mar 27. doi: 10.1001/jamasurg.2024.0233.

Madion M, Goldblatt MI, Gould JC, Higgins RM. Ten-year trends in minimally invasive hernia repair: a NSQIP database review. Surgical Endoscopy. 2021 Dec 1:1-9. doi: 10.1007/s00464-020-08217-9

Ammar AS, Naqi SA, Asghar MS, Khattak S, Jahangir A. Comparison of the outcome of mesh hernioplasty under local anaesthesia in patients with age less than 60 years VS more than 60 years in terms of wound complications and urinary retention. J Pak Med Assoc. 2020 Nov;70(11):1962-1965. doi: 10.5455/JPMA.39669. PMID: 33341840.

Ecker BL, Kuo LE, Simmons KD, Fischer JP, Morris JB, Kelz RR. Laparoscopic versus open ventral hernia repair: longitudinal outcomes and cost analysis using statewide claims data. Surgical endoscopy. 2016 Mar;30:906-15.

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Published

2025-03-31

How to Cite

Maham Qazi, Danyal Anwar Shiraz, Muhammad Shoaib, Ahmed Siddique Ammar, Humaira Alam, Fawad Hameed. Early Postoperative Complications of Suture Versus Endotacker Mesh Fixation in Laparoscopic Hernia Repair. Esculapio - JSIMS [Internet]. 2025 Mar. 31 [cited 2025 May 13];21(1):167-71. Available from: https://esculapio.pk/journal/index.php/journal-files/article/view/1192