Mesh Repair Of Hernia Research Articles

CLINICAL STUDY AND MANAGEMENT OF INCISIONAL HERNIA WITH MESH REPAIR

Objective: To assess the magnitude of this problem, various factors leading to development of this condition and the different modalities of treatment practiced in our set up. Background: Incisional hernia is the one true iatrogenic hernia ianAird denes incisional hernia as a diffuse extrusion of peritoneum and abdominal contents through a weak scar of an operation or accidental wound.Incisional hernia usually starts early after surgery, as a result of failure of the lines of closure of the abdominal wall following laparotomy. Material and methods: The study was carried out a prospective study of 60 consecutive patients who underwent mesh repair for symptomatic incisional hernia in the period between October 2019 and April 2021 in G.R. Medical College and Jaya Arogya Hospital, Gwalior. Results: In our study, out of 60 patients of incisional hernia predominant in females and compared to males mainly between 41-50 years of age predominantly 65% presented with complaint of swelling in abdomen. Etiological factor in our study which lead to hernia is wound infection followed by wound dehiscence and maximum incidence seen after gynaecological procedures and lower midline incision. Incisional hernia predominant in general anesthesia who had previously operated. Incisional hernia is predominantly observed in our study who had previously operated open surgery comparatively laparoscopy procedures. Conclusion: Conscientious aseptic technique and careful closure of the abdominal wound is necessary for preventing incisional hernia. Conventional preoperative preparation of the patients with high risk is an important factor in preventing recurrence of incisional hernia. The postoperative complications can be decreased by the utilization of suction drains in mesh repair.

Compare the Efficacy and Safety between Onlay Versus Sublay Mesh Repair for Para-Umbilical Hernia

Objective: To compare the efficacy and safety between onlay mesh technique and sublay mesh technique in patients undergoing paraumbilical hernia repair. Study Design: Retrospective/Observational Place & Duration: In the department of surgery, Muhammad Teaching Hospital, Peshawar and Fauji Foundation Hospital, Rawalpindi and conducted during the period from March 2021 to August 2021. Methods: A total of 166 patients with both genders having ages 18 to 65 years who were undergoing para-umbilical hernia repair were included. Patients demographic including age, gender were recorded after informed consent. Patients were equally divided into two groups Group O and Group S. Group O (83 patients) received onlay mesh technique and Group S (83 patients) received sublay technique. Outcomes such as post-operative pain, wound infection, seroma formation and hospital stay were recorded and compare the results between both groups. Results: In group O 48 (57.83%) patients and in group S 47 (56.63%) patients were females while 35 (42.17%) and 36 (43.37%) patients were males in group O and S. There was significant difference in term of post-operative pain 6.01+2.26 vs 3.58+1.44 (P-value <0.05). In group O 14 (16.87%) patients and in group S 4 (4.82%) patients had wound infection. 8 (9.64%) patients in Group O and 2 (2.40%) patients in Group S had seroma. Mean Hospital stay in days was high in Group O compared to Group B 5.32+1.74 vs 2.46+1.38 days (p=<0.05). There was a statistical significant difference regarding efficacy between both procedures with p-value 0.036. Conclusion: We concluded that sublay mesh technique for para-umbilical hernia repair was safe and effective with very low rate of complications as compared to onlay mesh procedure. Keywords: Paraumbilical Hernia Repair, Onlay Mesh Technique, Sublay Mesh Technique, Outcomes.

A comparative study of use of polypropylene and composite mesh in inguinal hernia repair

Background: Hernia most probably has been a disease ever since mankind existed. Repair of inguinal hernia is one of the commonest surgical procedures worldwide. Currently, about one million meshes are used per year world-wide for hernia repair. Therefore, surgical repair of hernia is a hot area of research for keeping the recurrence rates low with few complications using an ideal mesh material. The aim of the study was to compare the use of Polypropylene mesh and Composite mesh in patients undergoing inguinal hernia repair.Methods: A total of 60 patients of either gender were enrolled in the study and followed upto8 weeks. Out of 60, 30 patients were offered Polypropylene mesh hernioplasty and in rest 30 patients Lichtenstein hernioplasty with composite mesh was done. Postoperative analysis was made in terms of postoperative pain, complications and recurrence.Results: Both the groups were comparable in terms of age and gender. Post-operative pain at 24 hours was considerably lower in patients undergoing hernia repair using Composite mesh than with Polypropylene mesh group. However, most of the post-operative complications were comparable in early post-operative period and on subsequent follow up visits in both groups.Conclusions: Polypropylene mesh and composite mesh were comparable in terms of ease of mesh placement and post-operative complications in patients of inguinal hernia repair.

Fabrication, characterization and in vitro accelerated degradation of polypropylene/poly (glycolide-ε-caprolactone) warp-knitted hernia repair mesh

The mechanical properties and biocompatibility of hernia repair mesh have been difficult to achieve an optimal balance. In this paper, polypropylene (PP)/Poly(glycolide-ε-caprolactone) (PGCL) partially degradable hernia repair meshes were prepared through the warp-knitting process and its advantages were demonstrated. Basic properties of the materials and the mechanical properties of the meshes were tested and compared. Furthermore, in vitro accelerated degradation tests were performed on meshes (E14) by using five kinds of alkali solution. The degradation effect was reflected by the apparent morphologic change, weight, and strength loss rate of the mesh. The results show that the mesh has excellent mechanical properties, and accelerated degradation in vitro provides degradation results quickly. Among them, the degradation situation of meshes in Na2CO3 solution was more similar to that of phosphate buffered solution solution. The PP skeleton of mesh remains relatively stable after the degradation of PGCL, and the residual strength can still meet the clinical requirements. This study presents a promising step for the preparation and subsequent degradation of partially degradable hernia repair mesh.

The comparison of self-gripping mesh and conventional mesh in laparoscopic inguinal hernia repair: the results of meta-analysis.

Self-gripping mesh is widely used in laparoscopic inguinal hernia repair and some researches report its advantages compared with conventional mesh. The aim of this study was to assess outcomes of self-gripping mesh and conventional mesh in laparoscopic inguinal hernia repair. A systematic literature review was undertaken to identify studies comparing the results of self-gripping mesh and conventional mesh in laparoscopic inguinal hernia repair. Outcomes, including recurrence, chronic pain, operation time, hematoma, seroma and infection, were measured. Four randomized controlled trials and 1 prospective comparative study were analyzed. The incidence of chronic pain in self-gripping group was significantly lower than that in conventional group (OR 0.43, 95% CI 0.20, 0.93, P = 0.03), and there was no significant difference in hernia recurrence (OR 0.31, 95% CI 0.03, 3.06, P = 0.32), operation time (MD 0.06, 95%CI - 2.32, 2.44, P = 0.96), hematoma (OR 1.01, 95% CI 0.33, 3.07, P = 0.99) and seroma (OR 0.90, 95% CI 0.49, 1.66, P = 0.73). Laparoscopic inguinal hernia repair using self-gripping mesh is associated with a decreased incidence of chronic pain compared with conventional mesh, without increased postoperative complications.

A COMPARATIVE STUDY OF DESARDA VS LICHTENSTEIN REPAIR FOR UNCOMPLICATED INGUINAL HERNIA REPAIR IN A RURAL MEDICAL COLLEGE & HOSPITAL

BACKGROUND: Inguinal hernias rank among the commonest of all hernias and surgery is the only denitive treatment. We analysed the outcomes of Desarda tissue based repair in comparison with the standard Lichtenstein tension free mesh repair of primary inguinal hernia. METHODS: A total of 100 patients were randomly allocated into two groups, Desarda (group D) or Lichtenstein (group L) (50 VS 50, respectively). The primary outcome measures were operating time, post-operative pain scores, duration of post- operative hospital stay, time to return to basic physical activity and to work, foreign body sensation, and post- operative complications like seroma , haematoma , wound infection . Secondary outcome measures included chronic groin pain and recurrence during the follow up period . RESULTS: Operative time was signicantly less in the Desarda group (24.3400 ± 5.6518 )min as compared to (30.5200 ± 7.6405 )min in the Lichtenstein group. Postoperative day 1, day 3 and day 7 operative site pain was more in the Lichtenstein as compared to the Desarda group. Basic physical activity( post operative ambulation), chronic groin pain, seroma formation, haematoma formation, foreign body sensation, were also signicantly less in the Desarda group. During 3month follow up, 1 recurrence was detected in each group CONCLUSIONS: The successful primary inguinal hernia repair without use of mesh can be achieved using Desarda tissue based repair. It is as effective as the standard Lichtenstein tension free mesh repair. Shorter operative time, early return to basic physical activity, less chronic groin pain, less foreign body sensation and low postoperative complication are potential benets of Desarda repair and can be preferred for primary inguinal hernia repair

Adolescent inguinal hernia repair: a review of the literature and recommendations for selective management.

The choice of how to repair inguinal hernias in adolescents has historically been a matter of experience and differed between pediatric surgeons who traditionally performed a high ligation of the sac and general surgeons who typically perform a repair using mesh. This up-to-date review thoroughly examines the subject and discusses the suitability of both types of repairs in this unique age group. A 20-year Pub Med search was performed for the following terms: adolescent hernia repair including reports of mesh hernia repair in adolescents and postoperative complications including chronic inguinal pain and recurrences. The evidence in the literature suggests that while there appears to be no difference between the two types of repairs with regards to recurrence and complications, changes in the pelvic floor physiology in adolescents suggest that a selective, individualized approach can be recommended depending on the size and nature of the presenting pathology. A selective approach to the inguinal hernia in adolescent patients based on the size of the defect appears justified.

Outcomes from laparoscopic versus robotic mesh removal after inguinal hernia repair.

Preperitoneally placed mesh for inguinal hernia repair may require removal to address hernia recurrence, mesh reaction, meshoma, or other chronic pain. These are best approached either laparoscopically or robotically, but there is no consensus on which is the best approach for mesh removal nor are there any studies to evaluate and compare their outcomes. All patients who underwent inguinal mesh removal via laparoscopic and robotic approaches from 2011 to 2020 were analyzed. Data regarding demographics, preoperative, intraoperative, and postoperative outcomes were collected. Over 9years, 62 patients underwent 24 laparoscopic and 50 robotic operations. Laparoscopic cases had a shorter operative time by a mean of 55min (p = 0.02). There were no differences in intraoperative complications or postoperative outcomes between the two groups. Patients in both groups showed significant improvement after mesh removal (p = 0.02, p < 0.01) within 2weeks postoperatively and at long-term follow up (p < 0.01, p < 0.01). It is our experience that both laparoscopic and robotic approaches are viable options for removal of retroperitoneally placed inguinal mesh. Operative time with the laparoscopic approach was significantly shorter than the robotic approach. Patients on average had significant reduction in their preoperative pain, regardless of the approach. Minimally invasive mesh removal is a technically challenging operation, with risk of vascular and nerve injuries regardless of the approach. These findings demonstrate that both modalities are safe and effective with experienced surgeons.

Abdominal wall pseudocyst complicating incisional hernia repair.

Background: Development of a pseudocyst after mesh repair of hernia is a rare complication. As a result, both diagnosis and management pose a great challenge to the attending surgeon. Therefore, the need to report such an uncommon complication and its management in order to create awareness of this distinct rare entity. Case report: A case of pseudocyst formation following a onlay mesh repair of incisional hernia is reported. Contrast-enhanced CT scan was diagnostic. It revealed a well formed cyst with no communication with the peritoneal cavity. Complete excision of the cyst was curative. Conclusion: Pseudocyst formation is a rare complication following mesh repair. Contrast enhanced CT scan is essential for confirming the diagnosis. Complete surgical resection of the cyst is the mainstay of surgical treatment.

LAPAROSCOPIC ANTIREFLUX SURGERY: ARE OLD QUESTIONS ANSWERED? MESH HERNIOPLASTY.

Hiatal hernias are at high risk of recurrence. Mesh reinforcement after primary approximation of the hiatal crura has been advocated to reduce this risk of recurrence, analogous to mesh repair of abdominal wall hernias. However, the results of such repairs have been mixed, at best. In addition, repairs using some type of mesh have led to significant complications, such as erosion and esophageal stricture. At present, there is no consensus as to (1) whether mesh should be used, (2) indications for use, (3) the type of mesh, and (4) in what configuration. This lack of consensus is likely secondary to the notion that recurrence occurs at the site of crural approximation. We have explored the theory that many, if not most, "recurrences" occur in the anterior and left lateral aspects of the hiatus, normally where the mesh is not placed. We theorized that "recurrence" actually represents progression of the hernia, rather than a true recurrence. This has led to our development of a new mesh configuration to enhance the tensile strength of the hiatus and counteract continued stresses from intra-abdominal pressure.

Endoscopic and endoscopically assisted mini or less open sublay mesh repair (EMILOS and MILOS) of abdominal wall hernias: Update and 10-year experience of a single insitution

Introduction: Abdominal wall hernia and incisional hernia repair are among the most frequent operations in general surgery. However, despite the use of mesh and other recent improvements, the open mesh techniques and laparoscopic IPOM repair have specific disadvantages and risks. Materials and Methods: To minimize complications of the existing open and laparoscopic techniques we developed the endoscopic Mini- or Less Open Sublay (EMILOS) and endoscopically assisted Mini- or Less Open Sublay (MILOS) concept. We report on our large series of minimally invasive sublay repair of and ventral incisional hernias. The operation is performed transhernially with light-holding laparoscopic instruments either under direct, or endoscopic visualization, while the abdominal wall is circumferentially elevated with retractors. An endoscopic light tube was developed to facilitate this approach (Endotorch,TM Wolf Company). Each MILOS operation can be converted to standard total extraperitoneal gas endoscopy (EMILOS repair) once an extraperitoneal space of at least 8 cm has been created. The technique allows minimal invasive repair of ventral hernias with concomitant rectus diastasis. In large eventrations E/MILOS m. transversus abdominis release (TAR) can be performed. All MILOS operations were prospectively documented in the German Hernia registry Herniamed. Technical modifications and improvements from the inception of the E/MILOS concept including variants of the EMILOS technique are addressed. Results: The total and surgical complication rates of 1745 E/MILOS incisional hernia operations were 4.6% and 3.1%, respectively. The reoperation rate was 1.7%. Haemorrhage, seroma, enterotomy, infection and bowel obstruction were detected in 1.0, 0.9, 0.2, 0.3 and 0.4 percent of the cases, respectively. The recurrence rate after one year was 1.2%. Chronic pain at rest, at activities and chronic pain requiring therapy was reported in 3.8, 7.4 and 3.6 percent, respectively. Conclusion: The MILOS technique allows minimally invasive transhernial repair of incisional hernias using large retromuscular / preperitoneal meshes with low morbidity. The technique is reproducible, cost effective, easy to standardize and combines the advantages of open sublay and the laparoscopic IPOM repair.

Comparative analysis of onlay and sublay (retrorectus) mesh repair for incisional hernia (width ≤10 cm) of abdominal wall

Background: Incisional hernia repair is one of the most common procedures performed in general surgery. Onlay and sublay mesh repair both are well established techniques for the locations of mesh placement, but with various benefits and drawbacks. Despite various studies, the debate continues regarding preferring one technique over the other. We aim to compare the outcome of hernia repair between these two techniques. Materials and Methods: Retrospective analysis was done on patients who underwent open onlay/sublay hernia repair from February 2018 to March 2020 at our institute. 9–28 months of follow-up was done. Primary outcome was recurrence. Secondary outcomes included postoperative complications including surgical site infection, hematoma, seroma, wound dehiscence, peri-operative pain, persistent seroma, readmission after 30 days and chronic pain. Results: A total of 87 patients underwent open ventral hernia repair during the study period. Of which, 41 had onlay and 46 had sublay repair (SR). Recurrence occurred in five patients (12.2%) with onlay repair and two patients in sublay group (4.3%) after a follow-up duration of up to 28 months (P = 0.247). Wound complications were more common in onlay group (46.3%) than the sublay group (19.5%) (P = 0.008). The mean standard deviation intraoperative blood loss (mL) was significantly higher in sublay group (156 [96]) than onlay group (123 [110]) (P &lt; 0.0001). The postoperative drain output and the duration of placement were both greater in the onlay group (P &lt; 0.0001). The median (range) of hospital stay was significantly longer in the onlay group (5[3–10] days) than the sublay group (4[2–6] days) (P &lt; 0.001). Conclusion: SR seems to be the better technique taking into account the overall morbidity, although the need for multi-centric trials with patient-centered outcomes should be highlighted to settle the debate.

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Comparison of Hybrid Versus Synthetic Mesh in Robotic Rives-Stoppa Ventral Hernia Repair.

To estimate the average treatment effect on the treated (ATT) and to assess the clinical outcomes in two different types of mesh in robotic Rives-Stoppa (rRS) ventral hernia repair (VHR). A retrospective analysis of a robotic VHR database between February 1, 2013 and May 31, 2022. Patients who underwent a rRS VHR were included in this study and separated into two groups depending on the mesh used: SynecorTM Preperitoneal Biomaterial (SynecorTM Pre) and Bard™ Soft. Through propensity score and inverse-probability-treatment-weighting, the ATT was estimated for two scenarios; the first with the treated target having used the SynecorTM Pre, the second having used the Bard™ Soft mesh. Adjusted linear regression models, including lingering imbalanced variables, were used for both the primary outcome of the Comprehensive Complication Index (CCI®), and the secondary outcome of the hospital cost. A total of 186 patients who underwent rRS were separated into the two groups (SynecorTM Pre mesh, n = 85; Bard™ Soft mesh, n = 101). Adjusted linear regression models for the CCI showed no statistical difference between both groups (p > 0.05), whereas ATT on hospital cost was significantly higher (p < 0.001) in the SynecorTM Pre group in both scenarios [(95% confidence interval) = 3882 (2352, 5413) and -5185 (-8213, -2157), respectively]. Both mesh materials provided excellent outcomes with no difference in complications or recurrence rates. However, hospital cost was found to be higher in the hybrid mesh group. Long-term follow-up is needed to fully assess the performance of both mesh types in rRS.

Comparison of Absorbable versus Non Absorbable Tackers for Fixation of Mesh in Laparoscopic Midline Anterior Abdominal Wall Hernia Repair: A Randomised Clinical Study

Introduction: Tackers are divided in two broad categories namely, absorbable and non absorbable. Absorbable tackers are believed to achieve sufficient tensile strength compared to conventional non absorbable tackers. It is a matter of debate that which type of tacker has an upper hand over the other especially in terms of postoperative pain and recurrences even after few years of clinical experience with these tackers and available clinical studies. Aim: To compare various aspects of absorbable versus non absorbable tackers for fixation of mesh in Laparoscopic Midline Anterior Abdominal Wall Hernia Repair for short period of follow-up. Materials and Methods: In this prospective randomised clinical study from November 2016 till March 2018 at ABVIMS and Dr. RML Hospital, India. Eighty patients of age ≥18 years with midline anterior abdominal wall hernia were included and randomised into two groups (40 patients each). Group 1: Absorbable Tackers; and Group 2: Non Absorbable Tackers. Outcomes evaluated were postoperative pain, seroma formation, paralytic ileus, early recurrence (3 months follow-up) and duration of hospital stay.The data acquired was analysed using Statistical Package for Social Sciences (SPSS) version 22.0. Comparison of ordinal paired data was done using Wilcoxon signed rank sum test. The nominal categorical data was compared using chi-squared or Fisher’sexact test as appropriate. A p-value of &lt;0.05 was considered statistically significant. Results: Out of 80 patients included in this study with a range of 21 to 60 years, the median age was 30 years. There was no statistically significant association noted in terms of postoperative pain (p-value &gt;0.05), seroma formation (p-value=1), paralytic ileus (p-value &gt;0.05), length of hospital stay (p-value=0.801) and early recurrence (3 months). Conclusion: This study has shown that both non absorbable and absorbable tackers are associated with minimal postoperative complications and have similar postoperative morbidity. Both absorbable and non absorbable tackers are comparable for fixation of mesh in laparoscopic midline anterior abdominal wall hernia with respect to the above mentioned outcomes.

A Prospective Clinical Study of Mesh Size required for Open Inguinal Hernia Repair

Introduction: Inguinal hernia repair by open method is among the most frequently performed surgical procedures. The current standard surgical procedure employed is Lichtenstein’s tensionfree mesh repair which requires covering an area defined by anatomic landmarks like Anterior Superior Iliac Spine (ASIS), pubic tubercle, conjoint tendon etc. with a mesh. The distances among these landmarks vary depending upon stature, race, and gender of the patients. Aim: To study whether the commercially available mesh size can be reduced specifically for a subset of Indian population by estimating the actual sizes of mesh applied during inguinal hernia surgery. Materials and Methods: In this prospective clinical study 25 patients undergoing open inguinal mesh hernioplasty were studied at a tertiary care centre over a period of one year from August 2019 to July 2020. During surgery the standard size commercially available mesh (15x7.5 cm2 ) was trimmed down according to the dimensions and anatomical landmarks that were assessed during surgery in the usual manner. Since it is difficult to measure size of applied mesh intraoperatively and because it is often irregular in shape, a novel method was adopted to estimate the mesh size applied. The trimmed out portions of the mesh were weighed using a high precision electronic weighing machine. The ratio of weight of trimmed out portion to total weight of the standard sized mesh was used to derive the area of the mesh applied. Statistical analysis and significance tests were performed using spreadsheet software and student’s t-test, respectively. Results: Areas of mesh actually applied in the study- mean (85.26±11.04 cm2 ), mean+2SD (107.34 cm2 ), most common (75-97.4 cm2 ) and maximum (102.75 cm2 )- all were found to be less than the standard, commercially available size of mesh. No statistically significant difference was found between areas of mesh applied in patients with indirect and direct hernias using unpaired student t-test (p-value=0.1076). Conclusion: Areas of mesh actually applied in present study were found to be less than the standard, commercially available size of mesh for inguinal hernia repair.

Laparoscopic Umbilical Hernia repair in male patients with abdominal obesity.

Objective:Obesity is a global health problem, and obese patients are subject to developing abdominal wall hernias. There are few prospective studies comparing the laparoscopic method of umbilical hernia mesh repair between abdominal obesity patients and normal abdominal waist patients. The aim of this study was to evaluate the short-term outcomes (operative time, early complications and hospital stay) in the patients having laparoscopic hernia repair with abdominal obesity.Methods:This prospective cohort study was conducted at King Fahad Hospital Hofuf, Kingdom of Saudi Arabia from June 2014 to June 2021. Fifty four (54) adult male patients with umbilical hernia were included in this study. The patients were divided into two groups: Group-A: Patients with abdominal obesity (n=26), and Group-B: Patients without abdominal obesity (n=28). All the patients underwent laparoscopic repair of umbilical hernia. The patients with abdominal obesity were defined as those having an abdominal girth more than 102 centimeters.Results:No significant differences were observed as related to age, co-morbidity and risk factors between the two groups. The statistically significant difference between the two groups observed was related to the mean operative time and the mean hospital stay.Conclusion:Laparoscopic umbilical hernia repair can be safely performed in abdominal obesity in male patients without an additional risk of complications.

Successful management of hydronephrosis and anuric renal failure of transplant kidney, masquerading as extrarenal pelvis - A case report

An unusual case of kidney allograft dysfunction following mechanical obstruction of the allograft at distal ureter, secondary to scarred vas deferens, testicular vessels, and lower abdominal muscles due to the previous right inguinal hernia mesh repair. This led to anuric renal allograft failure on the 2nd postoperative day, which was successfully managed with a multidisciplinary team.

A Comparative Study of Hernioplasty With Suction Drain and Without Suction Drain in Inguinal Hernias at Tertiary Care Hospital

Background: Inguinal hernia occurs in about 15% of adult population and inguinal hernia repair is one of the mostcommonly performed surgical procedure. In the era of minimal invasive surgery, hernia repair has seen a paradigm shiftfrom open to laparoscopic technique.Objectives: To assess the outcome of drain placement Vs no drain use, in patients undergoing open mesh repair ofinguinal hernias.Methods: This is a prospective study comprising of 50 patients of inguinal hernia over a period of 23 months. The patientswere randomized into 2 groups – With and without the use of drains. The patients underwent open inguinal hernia meshrepair by a standardized method. The outcome of seroma formation, hematoma formation, infection at surgical site, andduration of hospital stay was recorded and analyzed.Results: In the present study 16% of cases in drainage group and 20% in non-drainage group developed post operativewound infection. P value is insignificant. The mean post operative hospital stay in drainage group was 9.7 days and innon-drainage group was 6.7 days.Conclusion: The early post operative complications like seroma, hematoma, wound infection rates are similar in bothdrainage and non-drainage groups. So, it appears that suction drain usage can be restricted in Lichtenstein’s tension freemesh repair in simple inguinal hernias unless hernia is complicated or there is extensive dissection

Feasibility of using a tailored mesh in laparoscopic Sugarbaker parastomal hernia repair.

In parastomal hernia (PH) repair, laparoscopic Sugarbaker technique (LS) is considered the best practice; however, meshes specific for LS repairs ceased to be available. The aim of the study was to evaluate feasibility of using a physician-modified mesh (tailored mesh: TM) in LS. Thirty-three patients who underwent LS for PH between June 2012 and September 2021 were examined to compare surgical outcomes between LS with TM (n=11) and with a ready-made specific mesh (SM, n=22). All meshes were coated plastic meshes. Statistical analysis was performed with the Mann-Whitney U test and Fisher's exact test. P < .05 was considered to be statistically significant. We compared the outcomes of TM with SM in LS for similar hernia types during median follow-up periods of 23 (range, 2-29) and 74 (range, 36-110) months (P < .0001), respectively. The median operation times were 146 (range, 45-423) for TM and 193 (range, 65-386) minutes for SM (P=.2301). Perioperative complications were observed in one TM patient (9%) and two SM patients (9%) (P=1.0000). The lengths of postoperative stay were similar. Recurrence was observed in two cases in the SM group (9%) within 1 year after the operation. In LS, TM seems to be a feasible mesh comparable to SM within short- and mid-term follow-up.