MESH FIXATION USING ABSORBABLE AND NON-ABSORBABLE TACKERS FOR LAPAROSCOPIC VENTRAL HERNIA REPAIR

Abstract

Background: Due to the use of non-absorbable tackers, LIVHR has been associated with a high incidence of both acute and chronic discomfort. Several absorbable tackers have been developed and used to alleviate this pain. Nevertheless, there aren't many research in the literature that compare two. 
Aim: The purpose of this study is to compare the comfort, effectiveness, and side effects of mesh fixation with absorbable and non-absorbable tackers for laparoscopic ventral hernia repair.  
Methods: In this study, 120 participants were split into two groups of 60 each. Group I participants received mesh fixation using absorbable tackers, whereas Group II participants received mesh fixation using non-absorbable tackers. The postoperative visual analogue scale (VAS) ratings, length of hospital stay, and time to resume regular activities were used to evaluate every participant in both groups.  
Results: According to the study's findings, there was no statistically significant difference between the individuals in the  two groups' demographic information and hernia features. Additionally, there were no noteworthy changes in VAS ratings at 0 days, 1 week, 3 months, or 6 months. The length of their hospital stay, the time it took them to resume their regular activities, and postoperative problems did not show any statistically significant differences. 
Conclusion: The current study comes to the conclusion that worries about pain or recurrence should not influence the decision to use absorbable or non-absorbable tackers for mesh fixation during surgery. Nonetheless, because of their low cost, absorbable tackers may be the best option for laparoscopic incisional ventral hernia repair.