Abstract
BACKGROUND: Plastic meshes are widely used in medicine. Since they are controversial for various reasons, alternatives are being sought. OBJECTIVES: Presentation of a case series of inguinal hernia operations (transabdominal preperitoneal [TAPP] technique) with a biological mesh made of autologous tendon tissue. MATERIALS AND METHODS: Laparoscopic transperitoneal inguinal hernia operation in 5 patients with tissue from the tendon of the semitendinosus muscle for unilateral inguinal hernia repair. RESULTS: All 5 patients successfully underwent surgery. CONCLUSION: Tendon tissue from the thigh is used successfully in knee surgery and also by gynecologists in prolapse surgery. Since the morbidity at the donor site is low and the tissue is stable, it might also be used routinely in hernia surgery.