Clinical Consensus on the Role of Self-Fixating Mesh in Laparoscopic Inguinal Hernia Repair

Journal

Asian Journal of Endoscopic Surgery

Year

2026

Materials & Methods

A panel of 13 hernia experts participated in the consensus discussion and manuscript development. A comprehensive literature review was conducted using PubMed, Embase, and Google Scholar to identify relevant articles and formulate statements. Consensus was assessed using a modified three-step Delphi method, with an acceptance level of > 80%.

Results

In phase 1 of consensus development, 11 statements were reviewed, with 9 reaching consensus and 1 facing disagreement. Five additional statements were introduced based on expert input. Phase 2 reviewed all 16 statements, with one failing to reach consensus. In phase 3, an online reassessment of the revised version of the failed statement in the previous round was conducted via Microsoft Forms, leading to consensus on all 16 statements.

Conclusion

SFM offers significant advantages over conventional sutured meshes in IH repair. However, further research and multicenter trials are recommended to refine surgical protocols. Based on expert recommendations, SFM may be preferred in IH repair, and structured training can enhance its adoption, improving patient outcomes.

Resources and Links

Phone Number: +603 2781 4519 / +603 2781 4520

https://onlinelibrary.wiley.com/doi/10.1111/ases.70255

Consultant Name

Dr Lau Peng Choong

[email protected]

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