BACKGROUND: @entity169 repair frequently is performed with mechanical fixation of a flat @entity7502 mesh. Mechanical fixation is associated with @entity158 syndromes, and mesh migration may occur without fixation of flat prostheses. An anatomically contoured mesh (3D Max; Davol, Cranston, RI, USA) using no or minimal fixation would avoid these problems. METHODS: A retrospective case study reviewed 212 transabdominal preperitoneal herniaplasties with 11 x 16-cm 3D Max mesh in 146 @entity1 . Fixation with three helical tacks at the most was used early or with very large defects. RESULTS: Fixation was used in 19% of the cases, but only for 1 of the last 98 @entity1 . As reported, 94% of the @entity1 returned to normal activities by 3 weeks, 97% returned to unrestricted sports by 6 weeks, and 92% complete recovery from surgery by 9 weeks. Fixation or bilateral repair did not alter recovery. Four @entity1 had minor @entity158 or @entity1183 . Symptomatic recurrence was 0%. One asymptomatic indirect recurrence was noted on examination, during a mean follow-up period of 23 months, yielding a 0.55% hernia rate and a 0.42% @entity1 -year recurrence risk. CONCLUSIONS: An anatomically contoured mesh for transabdominal preperitoneal hernia repair often requires no fixation, with minimal risk of @entity16 and less than a 0.5% @entity1 -year recurrence rate. Recovery is excellent even with bilateral repair or some fixation.

XXXX repair using an anatomically contoured three-dimensional mesh.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity1183 :: ('MESH:D006987', 'Disease') :: ['numbness'] @entity7502 :: ('MESH:D011126', 'Chemical') :: ['polypropylene'] @entity16 :: ('MESH:D009422', 'Disease') :: ['neuropathy'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity169 :: ('MESH:D006552', 'Disease') :: ['Laparoscopic inguinal hernia']
@entity169 :: (MESH:D006552,Disease) :: ['Laparoscopic inguinal hernia']
