ArticleArquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery2026
Transabdominal preperitoneal videolaparoscopic hernioplasty without mesh fixation.
Article in Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundLaparoscopic inguinal hernia repair using the transabdominal preperitoneal (TAPP) technique requires a stapler for mesh fixation, making the method expensive.
aimsTo demonstrate the feasibility of videolaparoscopic inguinal hernioplasty (TAPP) without mesh fixation in patients who are not stage 3 according to the European Hernia Society classification.
methodsForty patients underwent videolaparoscopic inguinal hernioplasty (TAPP) with a polypropylene mesh and without fixation from October 2017 to October 2018. After the procedure, outpatient follow-up appointments were scheduled until the 6th postoperative month. In June 2020, the patients were contacted by phone and a follow-up questionnaire was administered.
resultsA total of 52 hernias were operated on, as 25% of patients had bilateral hernias. No patient presented with recurrence or chronic pain. Late in the course of the procedure, 72.5% of patients were contacted, with a mean follow-up of 27.2 months. The incidence of surgical site infection was 12.5%.
conclusionsThe inguinal hernia repair by hernioplasty (TAPP) without mesh fixation in grade I and II patients (European Hernia Society) is feasible. CENTRAL MESSAGE: Inguinal hernia repair is the most commonly performed surgical procedure worldwide, with over 20 million operations carried out annually. Laparoscopic procedures are associated with reduced postoperative pain and a shorter recovery time, including a faster return to work. The transabdominal preperitoneal (TAPP) approach is one of the most widely used techniques for laparoscopic inguinal hernia repair and traditionally involves mesh fixation with disposable tackers. PERSPECTIVES: Laparoscopic inguinal hernia repair using the TAPP technique without mesh fixation in patients with European Hernia Society grade I and II defects is feasible. The technique showed no recurrences or chronic pain, high quality of life improvement, and a low rate of surgical site infections, supporting its feasibility and safety in selected patients. These findings suggest that, in carefully selected cases, TAPP inguinal hernioplasty without mesh fixation may be considered a safe and cost-effective alternative, particularly in resource-limited settings.
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