A Comparative study of Mesh Fixation by Absorbable Versus Non–Absorbable Tacks in Laparoscopic Ventral Hernia Repair.

Desai Sandipkumar Vallabhbhai; Kartik Saxena; Nishi Gupta; Shivam Singh; Shekhar Shivam; Gourav S. Makkar; Rijul Saini

Volume : VII, Issue : II, February - 2018

A Comparative study of Mesh Fixation by Absorbable Versus Non–Absorbable Tacks in Laparoscopic Ventral Hernia Repair.

Desai Sandipkumar Vallabhbhai, Kartik Saxena, Nishi Gupta, Shivam Singh, Shekhar Shivam, Gourav S. Makkar, Rijul Saini

Abstract :

Background: Laparoscopic repair is gold standard for Ventral Hernia. Non absorbable tacks were used for mesh fixation. Absorbable tacks are also used commonly in recent time. Comparision of both fixation technique is done in regard to pain, recurrence and complications.

Methods: A prospective, randomised, comparative study was conducted on sixty patients with ventral hernia in the Surgery department of Sanjay Gandhi Memorial Hospital, Delhi over two years starting from October 2015. These patients were randomly assigned to two groups– A and B using online random number generator. Patients of group A underwent mesh fixation by Absorbable tacks and those of group B underwent mesh fixation by Absorbable tacks . Overall patient satisfaction, pain, complications and recurrence rate were compared.

Results: Mean pain score–Day 0( 6.47 in AT group and 6.6 in NAT group), Day 1(3.47 in AT group and 3.33 in NAT group), Day 2(1.8 in AT group and 1.7 in NAT group), The mean days of hospitalization (1.5 in AT group and 1.43 in NAT group), The time to return normal activity in days(11.2 in AT group and 11.57 in NAT group), At 1 week of follow up(43.3% had mild pain,36.7% had moderate pain and 10% had severe pain in AT group and 50% had mild pain,36.7% had moderate pain and 6.7% had severe pain in NAT group), ), At 1 month of follow up(36.7% had mild pain,20% had moderate pain and 6.7% had severe pain in AT group and 33.3% had mild pain,16.7% had moderate pain and 6.7% had severe pain in NAT group), ), At 3 months of follow up(20% had mild pain,6.7% had moderate pain in AT group and 26.7% had mild pain,6.7% had moderate pain in NAT group), recurrence rate was seen in 3.3% of the AT group and no complications were recorded in both group.

Conclusions: Mesh fixation by absorbable tacks and Non–Absorbable Tacks shown no difference with respect to pain scores, the requirement of analgesics, No. of days of hospital stay, complications and recurrence rate.