An Overview on Laprascopic Fixation of Mesh

Abstract

Background: Laparoscopic inguinal hernia repair has become one of the most widely performed procedures in general surgery because of its advantages in reducing postoperative pain, shortening recovery time, and lowering recurrence rates. Mesh reinforcement is considered the standard technique for hernia repair; however, the method of mesh fixation remains controversial due to its impact on postoperative outcomes, particularly chronic groin pain, recurrence, inflammation, and mesh migration. Various fixation methods have been introduced, including sutures, tissue glues, self-fixating meshes, and absorbable or non-absorbable tacks. Tissue adhesives such as fibrin and cyanoacrylate glues provide atraumatic fixation with reduced risk of nerve entrapment, whereas tacks offer strong fixation strength but may increase postoperative morbidity through tissue injury and inflammatory reactions. Despite the availability of multiple fixation techniques, no consensus has yet been established regarding the optimal method for laparoscopic mesh fixation in inguinal hernia repair.