Criteria for choosing a mesh implant in laparoscopic Transabdominal Preperitoneal Patch hernioplasty

Abstract

Laparoscopic Transabdominal Preperitoneal Patch hernioplasty is an important method of treating inguinal hernias, but the lack of data on the comparative effectiveness of anatomical 3D mesh and traditional flat mesh makes it difficult to choose the optimal implant to reduce the risk of recurrence and complications. The aim of the study was to compare the effectiveness of anatomical 3D mesh and traditional flat mesh in laparoscopic hernioplasty with Transabdominal Preperitoneal Patch, as well as to determine the key criteria for implant selection. The objectives of the study were to analyse the recurrence rate, duration of surgery, postoperative pain, complication rate and patient satisfaction in the two groups. The study included 187 patients who were divided into two groups: 92 patients received traditional flat meshes and 95 patients received 3D anatomical meshes. Data were collected over 18 months and analysed using statistical methods. The use of anatomical 3D meshes reduced the time of surgery. The average level of postoperative pain according to the Visual Analogue Scale in the group with anatomical meshes was 30% lower. The complication rate in the anatomical mesh group was 5%, while in the flat mesh group it was 12%. Patient satisfaction in the group with anatomical 3D meshes was significantly higher. The results of the study confirm the advantage of anatomical 3D mesh in laparoscopic hernioplasty with Transabdominal Preperitoneal Patch, which reduces the time of surgery, reduces the incidence of recurrence, postoperative pain and complications, and increases patient satisfaction