ArticleSurgical endoscopy2021
Appropriate mesh size in the totally extraperitoneal repair of groin hernias based on the intraoperative measurement of the myopectineal orifice.
Article in Surgical endoscopy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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11 citing papers in PubMed.
- Short-term clinical outcomes of laparoscopic trans-abdominal pre-peritoneal repair using Parietex™ Lap.ProGrip™: a 10-year retrospective study.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Efficacy of the caudal view technique in mesh placement during laparoscopic inguinal hernia repair, with propensity score matching.Surgical endoscopy · 2025Article
- Enhancing laparoscopic inguinal hernia repair with three-dimensional computed tomography reconstruction.World journal of gastrointestinal endoscopy · 2025Article
- Comparative analysis of plane vs. telescopic dissection in totally extraperitoneal inguinal hernia repair: propensity score matching.Surgical endoscopy · 2025Article
- Three-dimensional reconstruction under computed tomography and myopectineal orifice measurement under laparoscopy for quality control of inguinal hernia treatment.World journal of gastrointestinal endoscopy · 2025Article
- To close, not to close, or to act bigger? Managing the defect of large direct inguinal hernia to reduce the risk of recurrence during laparoscopic TAPP repair: a retrospective cohort study.Updates in surgery · 2024Article
- Impact of different fibrin glue application methods on inguinal hernia mesh fixation capability.Scientific reports · 2024Article
- Surgical Outcome in Bilateral Inguinal Hernia Repair: Laparoscopic Total Extraperitoneal Approach (TEP) as Best Approach?Maedica · 2023Article
- Assessment of feasibility and safety of cyanoacrylate glue versus absorbable tacks for inguinal hernia mesh fixation. A prospective comparative study.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2023Article
- Mesh size may not affect recurrence in laparoscopic totally extraperitoneal repair of inguinal hernias.Medicine · 2022Article
- Surgical outcomes of totally extraperitoneal repair for inguinal hernia: A retrospective multicenter propensity score-matched study.Annals of gastroenterological surgery · 2021Article
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7 authors.
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Abstract
backgroundInsufficient coverage of the area of a possible groin hernia is an important risk factor in hernia recurrence. To prevent recurrence, it is important to use the appropriate mesh size based on the size of the myopectineal orifice (MPO), which is the weak area of the abdominal wall where inguinal hernias occur. We aimed to estimate the appropriate mesh size for groin hernias by investigating MPO size.
methodsFour hundred and six patients underwent groin hernia repair using a totally extraperitoneal (TEP) approach at the Zeze Hospital between July 2009 and December 2017. We investigated patients' backgrounds, MPO components dimensions, and hernia recurrence, and evaluated the appropriate mesh size.
resultsThe 359 male and 47 female patients had an average age of 63 ± 15 years. In 171, 147, and 88 cases, hernias were localized to the right, left, and bilaterally, respectively. The number of lateral, medial, femoral, and combined hernias was 317, 124, 11, and 42, respectively. The 95th percentile for the horizontal and vertical lengths in cases of hernia orifice ≥ 3 cm were 9.6 cm and 7.0 cm, respectively, while it was 9.2 cm and 6.4 cm in cases of hernia orifice < 3 cm. We added 2 cm and 3 cm to the 95th percentile for the length and width of the MPO, resulting in 13.2 × 10.4 cm and 15.6 × 13.0 cm in cases with hernia orifice < 3 cm and ≥ 3 cm, respectively. Relapse after TEP occurred in 1 patient (0.2%).
conclusionThe appropriate mesh size for TEP repair, derived from intraoperative MPO measurements, was estimated as 13.2 × 10.4 cm and 15.6 × 13.0 cm when the hernia orifice was < 3 cm and ≥ 3 cm, respectively. Using appropriate mesh sizes based on MPO measurement may reduce groin hernia recurrence after TEP.
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