Non-penetrative fixation methods reduce hernia reoperation rates

A study involving 49,029 transabdominal pre-peritoneal hernia repairs revealed that non-penetrative fixation and self-fixating meshes significantly reduce reoperation rates for recurrence. Tack fixation, the most commonly used method, had the highest rate at 5.3% after five years. In contrast, glue fixation, self-fixating meshes, and no fixation showed much lower adjusted hazard ratios for reoperation: 0.25, 0.21, and 0.51, respectively. The study highlights the influence of mesh type on recurrence risks.