Tacking in Hernia Repair

Hernia Discussion Forums Hernia Discussion Tacking in Hernia Repair

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    • #27518
      Alexander
      Participant

      Curious to hear the Dr’s views on tacking mesh during laparoscopic TEP repair. I thought tacks contributed to a higher risk of post op and chronic pain, but it seems like many surgeons are still using absorbable tacks.

    • #27690
      drtowfigh
      Keymaster

      For laparoscopic inguinal hernia repair;

      Judicious tacking is not considered that much of a chronic pain risk. The risk is overuse of the tacker (Eg Use under 5 racks, not 20) or improperly placed racks (Eg in the inferolateral portion of the mesh).

      Some hernias (Direct, femoral, large indirect) require some sort of fixation. That can Include glue or suture or a tacker.

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