Abstract
Application of tack fixation of mesh during laparoscopic inguinal hernia repair is controversial in these days. It is reported in overseas countries that there is no significant difference between fixation and non-fixation of mesh in total extraperitoneal repair (TEP) with respect to postoperative recurrence rate. However, no reports on the therapeutic outcomes from such a viewpoint have been presented in our country. Since March 2011, we have performed non-fixation TEP as the basic procedure in consecutive 218 cases. During a mean postoperative follow-up period of 20.1 months, postoperative recurrence occurred in only one case (0.46%). Non-fixation TEP is a reliable method in the inguinal hernia repair when done by experienced surgeons.
