Comparison of Self-Gripping Mesh Versus Tack-Fixed Prolene Mesh in Laparoscopic Transabdominal Preperitoneal (TAPP) Inguinal Hernia Repair: A Retrospective Study

Emre Ballı; Fatih Gürsoy

doi:10.18521/ktd.1900845

Comparison of Self-Gripping Mesh Versus Tack-Fixed Prolene Mesh in Laparoscopic Transabdominal Preperitoneal (TAPP) Inguinal Hernia Repair: A Retrospective Study

Abstract

Aim: This study compares two different fixation methods used in laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair: self-gripping micro-hooked meshes and prolene meshes fixed with absorbable staples.

Material and Methods: The research was performed retrospectively on 179 patients who received TAPP procedures at the General Surgery Unit of Afyonkarahisar Health Sciences University from January 2022 to March 2025.

Results: Participants in the study were split into two groups: those who used self-gripping mesh (Group 1, n = 74) and those who used staple-fixed mesh (Group 2, n = 105). Analysis revealed no statistically significant difference in operating time between the groups (Group 1: 60.85 min, Group 2: 62.86 min). Both groups exhibited comparable outcomes regarding the necessity for postoperative narcotic analgesics. No significant difference was found in seroma formation and hernia recurrence rates (1.35% in Group 1, 2.86% in Group 2). All recurrence cases were noted within the initial three months post-surgery.

Conclusion: This study demonstrates that the two mesh fixation methods employed in the TAPP approach for hernia repair exhibit comparable efficacy and reliability for clinical outcomes. Self-gripping meshes did not show any medical superiority over the traditional staple method in terms of reducing pain or shortening surgery time. Consequently, it is advisable to prioritize cost and economic considerations over clinical outcomes when selecting a procedure.

Keywords

References

The HerniaSurge Group. International guidelines for groin hernia management. Hernia. 2018;22(1):1-165. doi:10.1007/s10029-017-1668-x.
Jenkins JT, O’Dwyer PJ. Inguinal hernias. BMJ. 2008;336(7638):269-72. doi:10.1136/bmj.39450.428275.AD.
Haladu N, Alabi A, Brazzelli M, Imamura M, Ahmed I, Ramsay G, et al. Open versus laparoscopic repair of inguinal hernia: an overview of systematic reviews of randomised controlled trials. Surg Endosc. 2022;36(7):4685-700. doi:10.1007/s00464-022-09161-6.
Aiolfi A, Cavalli M, Micheletto G, Lombardo F, Bonitta G, Morlacchi A, et al. Primary inguinal hernia: systematic review and Bayesian network meta-analysis comparing open, laparoscopic transabdominal preperitoneal, totally extraperitoneal, and robotic preperitoneal repair. Hernia. 2019;23(3):473-84. doi:10.1007/s10029-019-01964-2.
Bittner R, Arregui ME, Bisgaard T, Dudai M, Ferzli GS, Fitzgibbons RJ, et al. Guidelines for laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal hernia [International Endohernia Society (IEHS)]. Surg Endosc. 2011;25(9):2773-843. doi:10.1007/s00464-011-1799-6.
Loos MJA, Roumen RMH, Scheltinga MRM. Chronic sequelae of common elective groin hernia repair. Hernia. 2007;11(2):169-73. doi:10.1007/s10029-007-0196-5.
Stabilini C, van Veenendaal N, Aasvang E, Agresta F, Aufenacker T, Berrevoet F, et al. Update of the international HerniaSurge guidelines for groin hernia management. BJS Open. 2023;7(5):zrad080. doi:10.1093/bjsopen/zrad080.
Wang D, Jiang J, Fu Y, Qu P. The comparison of self-gripping mesh and conventional mesh in laparoscopic inguinal hernia repair: the results of meta-analysis. Updates Surg. 2022;74(3):857-63. doi:10.1007/s13304-021-01218-w.

Aragone L, Pasquini MT, Croceri R, Medina P, Pirchi D. Self-gripping mesh in laparoscopic inguinal hernia repair: A comparative study about surgical time, post-operative pain and recurrence. J Minim Access Surg. 2025;21(3):292-6. doi:10.4103/jmas.jmas_62_24.
Nizam S, Saxena N, Yelamanchi R, Sana S, Kardam D. Mesh fixation with fibrin glue versus tacker in laparoscopic totally extraperitoneal inguinal hernia repair. ANZ J Surg. 2021;91(10):2086-90. doi:10.1111/ans.17165.
Alabi A, Haladu N, Scott NW, Imamura M, Ahmed I, Ramsay G, et al. Mesh fixation techniques for inguinal hernia repair: an overview of systematic reviews of randomised controlled trials. Hernia. 2022;26(4):973-87. doi:10.1007/s10029-021-02546-x.
Barone M, Raimondi P, Caldaralo F, Cichella A, Tannous M, Ciampaglia F, et al. Laparoscopic approach to ventral incisional hernia: absorbable or non-absorbable tacks? —A meta-analysis. Laparosc Surg. 2018;2:63. doi:10.21037/ls.2018.11.03.
Colak E, Ozlem N, Kucuk GO, Aktimur R, Kesmer S, Yildirim K. Prospective randomized trial of mesh fixation with absorbable versus nonabsorbable tacker in laparoscopic ventral incisional hernia repair. Int J Clin Exp Med. 2015;8(11):21611-6.
Kalayci T, Iliklerden UH, Kotan MC. Factors affecting morbidity, mortality, and recurrence in incarcerated femoral hernia. J Coll Physicians Surg Pakistan. 2022;32(2):213-9. doi:10.29271/jcpsp.2022.02.213.
Lima RNCL, Lima DL, Romero-Velez G, Pereira X, Shaear M, Bianchi JM, et al. Is minimally invasive repair the new gold standard for primary unilateral inguinal hernias? Results of an International Survey of Surgeons. J Laparoendosc Adv Surg Tech. 2022;32(2):183-8. doi:10.1089/lap.2020.0943.
Bittner R, Schwarz J. Inguinal hernia repair: Current surgical techniques. Langenbeck’s Arch Surg. 2012;397(2):271-82. doi:10.1007/s00423-011-0875-7.
Bittner R, Schwarz J. Primary unilateral not complicated inguinal hernia: our choice of TAPP, why, results and review of literature. Hernia. 2019;23(3):417-28. doi:10.1007/s10029-019-01959-z.
Wake BL, McCormack K, Fraser C, Vale L, Perez J, Grant A. Transabdominal pre-peritoneal (TAPP) vs totally extraperitoneal (TEP) laparoscopic techniques for inguinal hernia repair. Cochrane Database Syst Rev. 2005;2005(1):CD004703. doi:10.1002/14651858.CD004703.pub2.
Chastan P. Tension free open inguinal hernia repair using an innovative self gripping semi-resorbable mesh. J Minim Access Surg. 2006;2(3):139-43. doi:10.4103/0972-9941.27726.
Alfieri S, Amid PK, Campanelli G, Izard G, Kehlet H, Wijsmuller AR, et al. International guidelines for prevention and management of post-operative chronic pain following inguinal hernia surgery. Hernia. 2011;15(3):239-49. doi:10.1007/s10029-011-0798-9.
Pandanaboyana S, Mittapalli D, Rao A, Prasad R, Ahmad N. Meta-analysis of self-gripping mesh (Progrip) versus sutured mesh in open inguinal hernia repair. Surgeon. 2014;12(2):87-93. doi:10.1016/j.surge.2013.11.024.
Birk D, Hess S, Garcia-Pardo C. Low recurrence rate and low chronic pain associated with inguinal hernia repair by laparoscopic placement of Parietex ProGripTM mesh: clinical outcomes of 220 hernias with mean follow-up at 23 months. Hernia. 2013;17(3):313-20. doi:10.1007/s10029-013-1053-3.
Simons MP, Aufenacker T, Bay-Nielsen M, Bouillot JL, Campanelli G, Conze J, et al. European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia. 2009;13(4):343-403. doi:10.1007/s10029-009-0529-7.
Tran H, Tran K, Turingan I, Zajkowska M, Lam V, Hawthorne W. Single-incision laparoscopic inguinal herniorraphy with telescopic extraperitoneal dissection: technical aspects and potential benefits. Hernia. 2015;19(3):407-16. doi:10.1007/s10029-015-1349-6.
Köckerling F, Bittner R, Adolf D, Fortelny R, Niebuhr H, Mayer F, et al. Seroma following transabdominal preperitoneal patch plasty (TAPP): incidence, risk factors, and preventive measures. Surg Endosc. 2018;32(5):2222-31. doi:10.1007/s00464-017-5912-3.
Lau H, Lee F. Seroma following endoscopic extraperitoneal inguinal hernioplasty: Incidence and risk factors. Surg Endosc Other Interv Tech. 2003;17(11):1773-7. doi:10.1007/s00464-002-8771-4.
Habeeb TAAM, Mokhtar MM, Sieda B, Osman G, Ibrahim A, Metwalli AEM, et al. Changing the innate consensus about mesh fixation in trans-abdominal preperitoneal laparoscopic inguinal hernioplasty in adults: short and long term outcome. Randomized controlled clinical trial. Int J Surg. 2020;83:117-24. doi:10.1016/j.ijsu.2020.09.013.
Poruk KE, Farrow N, Azar F, Burce KK, Hicks CW, Azoury SC, et al. Effect of hernia size on operative repair and post-operative outcomes after open ventral hernia repair. Hernia. 2016;20(6):805-10. doi:10.1007/s10029-016-1542-2.
Tarchi P, Cosola D, Germani P, Troian M, De Manzini N. Self-adhesive mesh for Iichtenstein inguinal hernia repair. Experience of a single center. Minerva Chir. 2014;69(3):167-76.
Aydin M, Fikatas P, Denecke C, Pratschke J, Raakow J. Cost analysis of inguinal hernia repair: the influence of clinical and hernia-specific factors. Hernia. 2021;25(5):1129-35. doi:10.1007/s10029-021-02372-1.
Schmedt CG, Sauerland S, Bittner R. Comparison of endoscopic procedures vs Lichtenstein and other open mesh techniques for inguinal hernia repair: a meta-analysis of randomized controlled trials. Surg Endosc Other Interv Tech. 2005;19(2):188-99. doi:10.1007/s00464-004-9126-0.
Thakur MN, Choudhary AV, Deshmukh AB. Laparoscopic totally extraperitoneal repair using self-gripping polyester mesh (ProGripTM) in Inguinal Hernia: a retrospective study in a tertiary care hospital. J Surg Spec Rural Pract. 2023;4(3):153-7. doi:10.4103/jssrp.jssrp_29_23.
Molegraaf M, Kaufmann R, Lange J. Comparison of self-gripping mesh and sutured mesh in open inguinal hernia repair: A meta-analysis of long-term results. Surgery. 2018;163(2):351-60. doi:10.1016/j.surg.2017.08.003.

Details

Primary Language

English

Subjects

Health Services and Systems (Other)

Journal Section

Research Article

Authors

Emre Ballı ^*
0000-0002-3201-9756
Türkiye

Fatih Gürsoy
0000-0001-8299-494X
Türkiye

Publication Date

October 27, 2026

Submission Date

March 8, 2026

Acceptance Date

August 21, 2026

Published in Issue

Year 2026 Volume: 18 Number: 3

DOI

https://doi.org/10.18521/ktd.1900845

IZ

https://izlik.org/JA42UX56RE

Cite

RIS / Bibtex

APA

Ballı, E., & Gürsoy, F. (2026). Comparison of Self-Gripping Mesh Versus Tack-Fixed Prolene Mesh in Laparoscopic Transabdominal Preperitoneal (TAPP) Inguinal Hernia Repair: A Retrospective Study. Konuralp Medical Journal, 18(3), 206-210. https://doi.org/10.18521/ktd.1900845

AMA

1.Ballı E, Gürsoy F. Comparison of Self-Gripping Mesh Versus Tack-Fixed Prolene Mesh in Laparoscopic Transabdominal Preperitoneal (TAPP) Inguinal Hernia Repair: A Retrospective Study. Konuralp Medical Journal. 2026;18(3):206-210. doi:10.18521/ktd.1900845

Chicago

Ballı, Emre, and Fatih Gürsoy. 2026. “Comparison of Self-Gripping Mesh Versus Tack-Fixed Prolene Mesh in Laparoscopic Transabdominal Preperitoneal (TAPP) Inguinal Hernia Repair: A Retrospective Study”. Konuralp Medical Journal 18 (3): 206-10. https://doi.org/10.18521/ktd.1900845.

EndNote

Ballı E, Gürsoy F (October 1, 2026) Comparison of Self-Gripping Mesh Versus Tack-Fixed Prolene Mesh in Laparoscopic Transabdominal Preperitoneal (TAPP) Inguinal Hernia Repair: A Retrospective Study. Konuralp Medical Journal 18 3 206–210.

IEEE

[1]E. Ballı and F. Gürsoy, “Comparison of Self-Gripping Mesh Versus Tack-Fixed Prolene Mesh in Laparoscopic Transabdominal Preperitoneal (TAPP) Inguinal Hernia Repair: A Retrospective Study”, Konuralp Medical Journal, vol. 18, no. 3, pp. 206–210, Oct. 2026, doi: 10.18521/ktd.1900845.

ISNAD

Ballı, Emre - Gürsoy, Fatih. “Comparison of Self-Gripping Mesh Versus Tack-Fixed Prolene Mesh in Laparoscopic Transabdominal Preperitoneal (TAPP) Inguinal Hernia Repair: A Retrospective Study”. Konuralp Medical Journal 18/3 (October 1, 2026): 206-210. https://doi.org/10.18521/ktd.1900845.

JAMA

1.Ballı E, Gürsoy F. Comparison of Self-Gripping Mesh Versus Tack-Fixed Prolene Mesh in Laparoscopic Transabdominal Preperitoneal (TAPP) Inguinal Hernia Repair: A Retrospective Study. Konuralp Medical Journal. 2026;18:206–210.

MLA

Ballı, Emre, and Fatih Gürsoy. “Comparison of Self-Gripping Mesh Versus Tack-Fixed Prolene Mesh in Laparoscopic Transabdominal Preperitoneal (TAPP) Inguinal Hernia Repair: A Retrospective Study”. Konuralp Medical Journal, vol. 18, no. 3, Oct. 2026, pp. 206-10, doi:10.18521/ktd.1900845.

Vancouver

1.Emre Ballı, Fatih Gürsoy. Comparison of Self-Gripping Mesh Versus Tack-Fixed Prolene Mesh in Laparoscopic Transabdominal Preperitoneal (TAPP) Inguinal Hernia Repair: A Retrospective Study. Konuralp Medical Journal. 2026 Oct. 1;18(3):206-10. doi:10.18521/ktd.1900845