Hernia repair and management
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Peer reviewed
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The plastic-sheath method simplifies self-gripping mesh deployment, reduces operative time, and improves surgeon satisfaction without increasing complications.
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BACKGROUND: Self-gripping mesh reduces recurrence and postoperative pain but is difficult to deploy due to its adhesive properties. METHODS: We developed a plastic-sheath covering technique to facilitate mesh placement. In Phase I, prototypes were evaluated for placement time and surgeon satisfaction. In Phase II, a randomized controlled trial (NCT04394338) compared the optimized sheath with conventional placement in laparoscopic inguinal hernia repair. RESULTS: Prototype 4 achieved the shortest placement time in Phase I. In Phase II (n = 26), the plastic-sheath method significantly reduced mesh placement time (4.56 ± 1.80 vs. 7.40 ± 1.52 min; P = 0.005) and improved surgeon satisfaction (8.00 vs. 6.31; P = 0.003). Postoperative pain, hospital stay, and complication rates were comparable between groups. CONCLUSIONS: The plastic-sheath method simplifies self-gripping mesh deployment, reduces operative time, and improves surgeon satisfaction without increasing complications.
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@article{Jirasiritham2026randomized,
title = {A randomized controlled trial of a plastic-sheath technique to facilitate self-gripping mesh placement in laparoscopic inguinal hernia repair},
author = {Jakrapan Jirasiritham and Chairat Supsamutchai and Napaphat Poprom and Thanida Janbavonkij and Pongsasit Singhatat and Tharin Thampongsa and Jarinya Wilasrusmee and Theejutha Meakleartmongkol and Settanan Plangsiri and Panupol Thepyasuwan and Chumpon Wilasrusmee},
journal = {Hernia},
year = {2026},
doi = {10.1007/s10029-026-03823-3},
url = {https://doi.org/10.1007/s10029-026-03823-3}
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