Comparative Analysis of Tacker and Glue Fixation in Laparoscopic Mesh Repair of Ventral Hernias

Abstract

Background: Ventral hernias require cautious correction to avoid complications. They are a common surgical problem. Tacker and glue fixation are two widely used methods for laparoscopic mesh repair. This study compared the results of laparoscopic ventral hernia repair using tacker and glue fixation. Methods: From December 2020 to June 2022, 52 patients who met the inclusion criteria were enrolled in a prospective trial. To the glue or tacker fixation group, the patients were ostensibly assigned at random. Hospital stay, hernia recurrence, complications, operating time, and postoperative discomfort were all evaluated. Results from the two groups were compared using statistical analysis. Results: Tacker fixation increased early postoperative pain scores (p = 0.029) and greatly decreased operating times (p< 0.001). However, there were no appreciable differences in the two groups' incidence of general complications (p = 0.437) or hernia recurrence (p = 0.624). The hospital stay was reduced for the glue fixation group (p = 0.001). Conclusion: Tacker fixation and glue fixation are both acceptable techniques for laparoscopic ventral hernia repair, each with specific benefits and drawbacks. The decision should be made with the needs of each patient in mind as well as the surgeon's preferences, taking into account things like operating time, postoperative discomfort, and hospital stay. To fully comprehend these fixation techniques, more research is necessary on long-term results including chronic discomfort and hernia recurrence.