Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. X:X | DOI: 10.5507/bp.2026.029

Long-term outcomes of TAPP inguinal hernia repair using ProGrip™ self-fixating mesh: A five-year follow-up study

Igor Tomyak^{1, 2}, Jan Bafrnec^{1, 2}, Marie Neterdova¹, Tomas Hracek^{1, 2}, Adam Whitley³, Zdenek Subrt^{1, 2}

¹ Department of Surgery, University Hospital Kralovske Vinohrady, Prague, Czech Republic

² Third Faculty of Medicine, Charles University, Prague, Czech Republic

³ Department of Surgery, Regional Hospital Kladno, Kladno, Czech Republic

Background: Inguinal hernia repair is among the most common procedures in general surgery. The selection of mesh type and fixation method remains debated, especially concerning recurrence and chronic pain.

Methods: This was a retrospective cohort study on patients who had undergone transabdominal preperitoneal repair (TAPP) with ProGrip™ self-fixating mesh in a laparoscopic surgery centre. Data were gathered from hospital records and telephone interviews, with at least five years of follow-up. The main outcomes measured were recurrence and long-term postoperative groin pain.

Results: A total of 150 patients were included in the study. At the five-year follow-up, hernia recurrence occurred in 5 patients (3.3%), chronic pain in 7 patients (4.7%). All complications in 16 patients (10.7%) were minor, with no major adverse events. Risk factor analysis revealed no statistically significant predictors, although preoperative pain (P=0.062) and recurrent hernias were associated with a higher risk of recurrence.

Conclusion: TAPP inguinal hernia repair using the ProGrip™ mesh offers excellent long-term results with low recurrence and chronic pain rates, confirming the safety and effectiveness of this technique.

Keywords: hernia, inguinal hernia, mesh, TAPP, ProGrip, surgical site infection, chronic groin pain, hernia recurrence

Received: January 4, 2026; Revised: September 9, 2026; Accepted: September 30, 2026; Prepublished online: November 3, 2026