MEsh FIxation in Laparoendoscopic Repair of Large M3 Inguinal Hernias

The goal of this Multicenter Clinical Trial is to verify the hypothesis that non-fixation of the 3-D anatomical mesh (Dextile Anatomical Mesh or 3D Max Mesh) is non-inferior in terms of recurrence compared to fixation of lightweight, macroporous meshes in laparoendoscopic repairs of large M3 inguinal hernias.

Inclusion Criteria:elective groin hernia repair,M3 or M3+L1-3 (EHS classification) groin hernia confirmed during surgeryeligibility to laparoendoscopic repairwritten informed consentExclusion Criteria:emergency surgery (incarcerated hernia)contaminated surgical fieldrecurrent herniaextremely large scrotal hernia with the need of other forms of prevention of Abdominal Compartment Syndrome (botox injection, preoperative progressive pneumoperitoneum - PPP, bowel resection etc.)