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Hernia repair isn't just about placing a mesh – it's about keeping it there securely, safely, and with minimal long-term discomfort. The choice of fixation device matters more than you might think.

HISTORY / ORIGIN

The journey of hernia repair is a story of continuous innovation. The first surgical inguinal hernia repair was reported as early as 1716. However, the modern era began in 1958 when Usher performed the first mesh repair. He introduced the first polypropylene mesh in 1968 as a method to achieve tension‑free hernia repair. The term "tension‑free" hernioplasty was later popularized by Lichtenstein and colleagues in 1986.

But a mesh alone isn't enough – it needs to be fixed in place. Tack fixation has been applied since the introduction of laparoscopic inguinal and ventral hernia repair in the late 1980s and early 1990s. Initially, surgeons used permanent metallic tacks. Over time, concerns about chronic pain and…