Laparoscopic Totally Extraperitoneal Inguinal Hernia Repair: Two Mesh Cross And Overlap Without Stapler Versus Single Mesh Stapler

Objective The purposes of this study were to assess the safety and effectiveness of laparoscopic totally extraperitoneal (TEP) repair using two mesh cross and overlap without stapler technique and to discuss the cause of complications.Methods The 243 cases of inguinal hernia were randomly divided into two groups. One group underwent two meshes cross and overlap no fixation TEP, the other underwent a single mesh stapling fixation TEP. The average follow-up was 28±6 months. Comparing the effect of the two approaches, statistical analysis including the X2 test and Student's t test was carried out where appropriate. A p value of less than 0.05 was considered statistically significant.Results The recurrence rate for the mesh no fixation group (1.9%) was lower than the mesh fixation group(2.9%) (P=0.697). The overall postoperative complication rate or each complication rate was no significant difference between the two groups. The total incidence of postoperative complications associated more with the learning outcomes, beginners group (24.0%) was significantly higher than that experienced group (8.8%) (P=0.008).Conclusions Laparoscopic totally extraperitoneal(TEP) repair using two mesh cross and overlap no fixation technique is safe and reliable. By strengthening the training for the beginners to learn is expected to be significantly lower incidence of complications.