Inguinal hernia repair with the trabucco technique: A multicenter analysis with 5-year follow-up.

Authors

Alberto Aiolfi, Piero Giovanni Bruni, Davide Bona, Gianluca Bonitta, Vanja Pecic, Bojan Jovanovic, Niccolò Grappolini, Livia Manfredini, Antonio Gargiulo, Umberto Bracale, Marta Cavalli, Giampiero Campanelli

Published in

Hernia : the journal of hernias and abdominal wall surgery. Volume 30. Issue 1. Aug 29, 2026. Epub Aug 29, 2026.

Abstract

Over the past three decades, the surgical management of inguinal hernia has undergone considerable advancement. In the setting of open inguinal hernia repair, the Liechtenstein tension-free technique continues to be regarded as the standard treatment; parallelly the Trabucco technique has attracted attention due to its sutureless mesh fixation. This study presents a multicenter evaluation of the Trabucco repair, with an emphasis on hernia recurrence, postoperative complications, chronic pain, and cosmetic outcomes over a five-year follow-up period.
Multicenter retrospective study using a prospectively maintained database from March 2019 to December 2024. The study included all patients who underwent Trabucco repair for monolateral, uncomplicated groin hernia classified as M1-2 or L1-2. Exclusion criteria comprised patients with L3/M3 groin hernias, those undergoing surgery for hernia recurrence, and cases lost to follow-up. The primary outcome was hernia recurrence determined on both clinical and imaging confirmation.
Overall, 1,846 patients completed 1-year follow-up and were included in the analysis; follow-up compliance was 92% (1095/1190) at 3 years and 88% (573/658) at 5 years. Hernia recurrence occurred in 2.1% of patients, with 5-year recurrence-free probabilities of 0.95 (95%CI 0.94-0.97). Age- and hernia size-adjusted hazard analysis showed the greatest recurrence risk within the first 2 years after surgery. Chronic pain was reported in 1.1% of patients. Patient-reported outcomes, including pain, activity restriction, cosmetic concerns, and total EuraHS-QoL score, improved significantly from baseline throughout follow-up (). No mesh-related complications were observed during short- or long-term follow-up.
In selected patients with uncomplicated unilateral M1-2 or L1-2 inguinal hernia, Trabucco repair appeared to be associated with favorable 5-year outcomes, including low recurrence and chronic pain rates and sustained improvement in quality of life.

PMID:
42667427
Bibliographic data and abstract were imported from PubMed on 30 Aug 2026.

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