Laparoscopic ventral hernia repair with tacker only mesh fixation:single centre experience


  • Jitendra Kumar Department of Surgery, Lady Hardinge Medical College and Smt S.K. Hospital, New Delhi,India
  • Rajni Raina Department of Anaesthesia,Dr. Baba sahib Ambedkar Medical College and Hospital,Rohini,New Delhi,India



Laparoscopic ventral hernia repair, Mesh fixation, Tack fixation, Incisional hernia, Abdominal wall hernia


Background: Abdominal wall or ventral hernias are common surgical problem in day to day surgical practice. With the time repair of abdominal wall hernia through laparoscopic route becoming more acceptable and popular but still there is wide variation in the way we are fixing the mesh to the abdominal wall. Tacker is one of the commonest and most convenient way, used now a day for fixation of mesh. Aim of this study is to find the result in respect of surgical outcome of laparoscopic ventral hernia repair using only tack for mesh fixation.

Methods: For this retrospective observational study, data in respect of all laparoscopic ventral hernia repair performed with tacker only mesh fixation, as an elective case during the period from 15 October 2013 to 15 February 2016 has been collected and analysed.

Results: Out of total number of thirty-six patients (n=36), 27 were female and 09 were male (F: M = 4:1) with mean age of 42.61±13.47, 19.44% was having co-morbid illness and 55.55% was a case of post-surgery incisional hernia. Mean operative time was around 79 minutes and mean post-operative hospital stay was 2.9 days. In 13.88% of cases seromas, in 08.33% cases prolonged pain and 02.77% of cases recurrence was reported.

Conclusions: Laparoscopic ventral hernia repair with tacker only mesh fixation is safe and convenient way for treatment of abdominal wall hernia and its results in respect of surgical outcomes and recurrences are comparable to any other method of ventral hernias surgery.


Mcglannan A. Lateral ventral hernia. Ann Surg. 1927;85(2):284-7.

Leblanc KA, Booth WV. Laparoscopic repair of incisional abdominal hernias using expanded polytetrafluoroethylene: preliminary findings. Surg Laparosc Endosc. 1993;3(1):39-41.

Zhang V, Zhou H, Chai Y, Cao C, Jin K, Hu Z. Laparoscopic versus open incisional and ventral hernia repair: a systematic review and meta-analysis. World J Surg. 2014;38(9):2233-40.

Leblanc KA, Whitaker JM, Bellanger DE, Rhynes VK. Laparoscopic incisional and ventral hernioplasty: lessons learned from 200 patients. Hernia. 2003;7(3):118-24.

Heniford BT, Park A, Ramshaw BJ, Voeller G. Laparoscopic repair of ventral hernias: nine years' experience with 850 consecutive hernias. Ann Surg. 2003;238(3):391-9.

Carbajo MA, Olmo JC, Blanco JI, Cuesta C, Martín F, Toledano M, Perna C, Vaquero C. Laparoscopic treatment of ventral abdominal wall hernias: preliminary results in 100 patients. Journal Society Laparoendoscopic. 2000;4(2):141-5.

Chowbey PK, Sharma A, Khullar R, Mann V, Baijal M, Vashistha A. Laparoscopic ventral hernia repair. J Laparoendosc Adv Surg Tech A. 2000;10(2):79-84.

Bittner R, Bingener CJ, Dietz U, Fabian M, Ferzli GS, Fortelny RH, et al. Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias. Surgical Endoscopy. 2013;28(1):2-29.

Silecchia G, Campanile FC, Sanchez L, Ceccarelli G, Antinori A, Ansaloni L, et al. Laparoscopic ventral/incisional hernia repair: updated Consensus Development Conference based guidelines. Surg Endosc. 2015;29(9):2463-84.

Alexander AM, Scott DJ. Laparoscopic ventral hernia repair. Surg Clin North Am. 2013;93:1091-110.

Heniford BT, Park A, Ramshaw BJ, Voeller G. Laparoscopic repair of ventral hernias: nine years' experience with 850 consecutive hernias. Ann Surg. 2003;238(3):391-9.

Goodney PP, Birkmeyer CM, Birkmeyer JD. Short­term outcomes of laparoscopic hernia repair and open ventral a meta­analysis. Arch Surg. 2002;137:1161­5.

Perrone JM, Soper NJ, Eagon JC. Perioperative outcomes and complications of laparoscopic ventral hernia repair. Surgery. 2005;138:708-15.

Leblanc KA. Laparoscopic incisional and ventral hernia repair: complications: how to avoid and handle. Hernia. 2004;8:323-31.

Bittner R, Bingener CJ, Dietz U. Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias. Surg Endosc. 2014;28:353-79.

Reynvoet E, Berrevoet F. Pros and cons of tacking in laparoscopic hernia repair. Surg Technol Int. 2014;25:136-40.

Leblanc KA. Tack hernia: a new entity. Journal Society Laparoendos Surg. 2003;7(4):383-7.

Wirsching A, Vonlanthen R, Lehmann K. Gallbladder perforation by absorbable spiral tacker. Ann R Coll Surg Engl. 2014;96(7):22-3.

Lerdsirisopon S, Frisella MM, Matthews BD, Deeken CR. Biomechanical evaluation of potential damage to hernia repair materials due to fixation with helical titanium tacks. Surg Endosc. 2011;25(12):3890-7.

Ladurner R, Mussack T. Small bowel perforation due to protruding spiral tackers: a rare complication in laparoscopic incisional hernia repair. Surg Endosc. 2004;18(6):1001.

Kitamura RK, Choi J, Lynn E, Divino CM. Suture versus tack fixation of mesh in laparoscopic umbilical hernia repair. Journal Society Laparoendosc Surg. 2013;17(4):560-4.

Muysoms F, Vander MG, Pletinckx P, Boldo E, Jacobs I, Michiels M, et al. Randomized clinical trial of mesh fixation with "double crown" versus "sutures and tackers" in laparoscopic ventral hernia repair. Hernia. 2013;17(5):603-12.

Ceccarelli G, Patriti A, Batoli A, Bellochi R, Spaziani A, Pisanelli MC, et al. Laparoscopic incisional hernia mesh repair with the "double-crown" technique: a case-control study. J Laparoendosc Adv Surg Tech A. 2008;18(3):377-82.






Original Research Articles