{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T17:21:02Z","timestamp":1787764862097,"version":"build-2784847793"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,1]]},"abstract":"\n Background:<\/jats:title>\n The present study evaluated the effect of internal mesh fixation and external fixation (inguinal hernia truss) on postoperative complications in patients with inguinal hernia.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n This randomized clinical trial was performed on 64 patients that were candidates for inguinal hernia repair by laparoscopic method following the totally extraperitoneal procedure. These patients were randomly divided into two groups. In the first group, the mesh was fixed with a maximum of three absorbable tacks. In the second group, the inguinal hernia truss was used as the external fixation for 6 weeks immediately after the surgery.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n The results revealed that seroma, neuralgia, and recurrence were observed with the values of 6.4%, 19.4%, and 3.2% in Group A and 3.3%, 13.3%, and 3.3% in Group B (\n P<\/jats:italic>\n > 0.05). Moreover, patients\u2019 pain scores 1 week and 1 month after the surgery in Group B were significantly lower than those of Group A (\n P<\/jats:italic>\n < 0.05). However, the mean pain score of patients was not different between the two groups 3 and 6 months after the surgery (\n P<\/jats:italic>\n > 0.05). Furthermore, the duration of return to work in Group B with an average of 8.07 \u00b1 3.09 days was less than that of Group A with the average of 9.65 \u00b1 5.34 days (\n P<\/jats:italic>\n > 0.05).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n The mentioned findings can trigger the use of external fixation and an inguinal hernia truss as a support for the abdominal wall to make the dream of not using a foreign body in the human body come true.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/abr.abr_140_21","type":"journal-article","created":{"date-parts":[[2023,10,27]],"date-time":"2023-10-27T02:17:24Z","timestamp":1698373044000},"page":"49","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["The Effect of Internal Mesh Fixation and External Fixation (Inguinal Hernia Truss) on Postoperative Complications in Patients with Inguinal Hernia Undergoing Totally Extraperitoneal Laparoscopic Hernioplasty"],"prefix":"10.4103","volume":"11","author":[{"given":"Masoud","family":"Sayadi Shahraki","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohsen","family":"Mahmoudieh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Behrooz","family":"Keleidari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hamid","family":"Melali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zakaria","family":"Sharbu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-49-20240830","doi-asserted-by":"crossref","first-page":"912","DOI":"10.1007\/s00464-016-5054-z","article-title":"Treatment of routine adolescent inguinal hernia vastly differs between pediatric surgeons and general surgeons","volume":"31","author":"Bruns","year":"2017","journal-title":"Surg Endosc"},{"key":"R2-49-20240830","doi-asserted-by":"crossref","first-page":"e1916330","DOI":"10.1001\/jamanetworkopen.2019.16330","article-title":"Costs associated with modifiable risk factors in ventral and incisional hernia repair","volume":"2","author":"Howard","year":"2019","journal-title":"JAMA Netw Open"},{"key":"R3-49-20240830","doi-asserted-by":"crossref","first-page":"687","DOI":"10.1002\/ca.22022","article-title":"An evidence-based approach for laparoscopic inguinal hernia repair: Lessons learned from over 1,000 repairs","volume":"25","author":"Castorina","year":"2012","journal-title":"Clin Anat"},{"key":"R4-49-20240830","doi-asserted-by":"crossref","first-page":"1745","DOI":"10.18203\/2349-2902.isj20191513","article-title":"The use of prosthetic mesh in adult inguinal hernia repair","volume":"6","author":"Majeed","year":"2019","journal-title":"Int Surg J"},{"key":"R5-49-20240830","first-page":"567","article-title":"A comparison of the oxidative stress response in single-incision laparoscopic versus multi-trocar laparoscopic totally extraperitoneal inguinal hernia repair","volume":"15","author":"Bia\u0142ecki","year":"2020","journal-title":"Wideochir Inne Tech Maloinwazyjne"},{"key":"R6-49-20240830","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1186\/s12893-017-0253-7","article-title":"Transabdominal Preperitoneal (TAPP) versus Lichtenstein operation for primary inguinal hernia repair \u2013 A systematic review and meta-analysis of randomized controlled trials","volume":"17","author":"Scheuermann","year":"2017","journal-title":"BMC Surg"},{"key":"R7-49-20240830","doi-asserted-by":"crossref","first-page":"327","DOI":"10.4103\/1110-1121.194729","article-title":"Tack fixation versus nonfixation of mesh in laparoscopic transabdominal preperitonaeal hernia repair","volume":"35","author":"Darwish","year":"2016","journal-title":"Egypt J Surg"},{"key":"R8-49-20240830","first-page":"CD011517","article-title":"Mesh versus non-mesh for inguinal and femoral hernia repair","volume":"9","author":"Lockhart","year":"2018","journal-title":"Cochrane Database Syst Rev"},{"key":"R9-49-20240830","first-page":"23","article-title":"Comparative study between mesh fixation vs.non-fixation in totally extraperitoneal hernioplasty for inguinal Hernia","volume":"6","author":"Abd-Raboh","year":"2018","journal-title":"J Surg"},{"key":"R10-49-20240830","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1051\/bmdcn\/2017070316","article-title":"Mesh materials and hernia repair","volume":"7","author":"Elango","year":"2017","journal-title":"BioMedicine"},{"key":"R11-49-20240830","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1016\/j.amjsurg.2012.09.003","article-title":"A meta-analysis examining the use of tacker mesh fixation versus glue mesh fixation in laparoscopic inguinal hernia repair","volume":"206","author":"Sajid","year":"2013","journal-title":"Am J Surg"},{"key":"R12-49-20240830","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1016\/j.ijsu.2012.04.022","article-title":"A meta-analysis examining the use of tacker fixation versus no-fixation of mesh in laparoscopic inguinal hernia repair","volume":"10","author":"K\u00f6ckerling","year":"2012","journal-title":"Int J Surg"},{"key":"R13-49-20240830","doi-asserted-by":"crossref","first-page":"4077","DOI":"10.1007\/s00464-017-5454-8","article-title":"Mesh fixation methods and chronic pain after transabdominal preperitoneal (TAPP) inguinal hernia surgery: a comparison between fibrin sealant and tacks","volume":"31","author":"Andresen","year":"2017","journal-title":"Surgical endoscopy"},{"key":"R15-49-20240830","first-page":"168","article-title":"Repair of inguinal hernia: A comparison between extraperitoneal laparoscopy and Lichtenstein open surgery","volume":"68","author":"Tavassoli","year":"2010","journal-title":"Tehran Univ Med J"},{"key":"R16-49-20240830","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1016\/j.amjsurg.2007.02.012","article-title":"Chronic pain after mesh repair of inguinal hernia: A systematic review","volume":"194","author":"Nienhuijs","year":"2007","journal-title":"Am J Surg"},{"key":"R17-49-20240830","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1097\/SLA.0b013e31816b18e3","article-title":"Re-recurrence after operation for recur-rent inguinal hernia. A nationwide 8-year follow-up study on the role of type of repair","volume":"247","author":"Bisgaard","year":"2008","journal-title":"Ann Surg"},{"key":"R18-49-20240830","doi-asserted-by":"crossref","first-page":"602","DOI":"10.1016\/j.amjsurg.2013.05.008","article-title":"Comparison of laparoscopic versus open procedure in the treat-ment of recurrent inguinal hernia: A meta-analysis of the results","volume":"207","author":"Li","year":"2014","journal-title":"Am J Surg"},{"key":"R19-49-20240830","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1007\/s10029-010-0648-1","article-title":"The time profile of groin hernia recurrences","volume":"14","author":"Magnusson","year":"2010","journal-title":"Hernia"},{"key":"R20-49-20240830","doi-asserted-by":"crossref","first-page":"373","DOI":"10.4293\/108680812X13427982377067","article-title":"Ventral hernia repair: Outcomes change with long-term follow-up","volume":"16","author":"Singhal","year":"2012","journal-title":"JSLS"},{"key":"R21-49-20240830","doi-asserted-by":"crossref","first-page":"212","DOI":"10.4103\/fjs.fjs_15_19","article-title":"Comparison of mesh fixation and nonfixation in laparoscopic transabdominal preperitoneal repair of inguinal hernia","volume":"52","author":"Kalidarei","year":"2019","journal-title":"Formos J Surg"},{"key":"R22-49-20240830","doi-asserted-by":"crossref","first-page":"3065","DOI":"10.1007\/s00268-010-0760-5","article-title":"Outcomes of staple fixation of mesh versus nonfixation in laparoscopic total extraperitoneal inguinal repair: A meta-analysis of randomized controlled trials","volume":"34","author":"Tam","year":"2010","journal-title":"World J Surg"},{"key":"R23-49-20240830","doi-asserted-by":"crossref","first-page":"122","DOI":"10.4103\/1319-3767.41730","article-title":"No-mesh inguinal hernia repair with continuous absorbable sutures: A dream or reality? (A study of 229 patients)","volume":"14","author":"Desarda","year":"2008","journal-title":"Saudi J Gastroenterol"},{"key":"R24-49-20240830","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1007\/s13304-017-0483-3","article-title":"SUPERMESH Study Group. Pain and quality of life after inguinal hernia surgery: A multicenter randomized controlled trial comparing lightweight vs heavyweight mesh (Supermesh Study)","volume":"70","author":"Bona","year":"2018","journal-title":"Updates Surg"}],"container-title":["Advanced Biomedical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/abr.abr_140_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:48:11Z","timestamp":1787762891000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/abr.abr_140_21"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":23,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/abr.abr_140_21","relation":{},"ISSN":["2277-9175"],"issn-type":[{"value":"2277-9175","type":"print"}],"subject":[],"published":{"date-parts":[[2022,1]]}}}