Laparoscopic Fixation versus Less Fixation of Mesh in Trans Abdominal Preperitoneal Repair of Inguinal Hernia | ||||
| Benha Medical Journal | ||||
| Articles in Press, Accepted Manuscript, Available Online from 25 July 2025 PDF (519.64 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/bmfj.2025.379014.2386 | ||||
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| Authors | ||||
Mahmoud Elsayed Taha   1; ayman Tohamy mohamed2; mohamed atef mohamed3; Mohamed M. Debes4
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| 1general surgery faculty of medicine Benha university | ||||
| 2Assistant professor of General surgery ,Benha university | ||||
| 3Assistant professor of General and Pediatric Surgery Faculty of Medicine - Benha University | ||||
| 4Department of General Surgery, Faculty of Medicine, Benha University, Egypt | ||||
| Abstract | ||||
| Background: Inguinal hernia is the most common type of hernia. Two techniques are commonly employed laparoscopically transabdominal preperitoneal repair (TAPP) and totally extra peritoneal repair (TEP). We aimed to compare between the outcomes of TAPP of inguinal hernia by mesh fixation with tackers and suturing and those with less fixation with tackers and suturing. Methods: This randomized study was conducted on 90 adult patients with diagnosis of inguinal hernia. Patients were randomized into 2 equal groups Group І: underwent hernia repair with mesh fixation: Group Ia (n=20): underwent mesh fixation with tackers, Group Ib (n=25): underwent mesh fixation with sutures. Group II: patients underwent less mesh fixation. Group IIa(n=19): underwent less mesh fixation with tackers. Group IIb (n=26): underwent less mesh fixation with sutures. All patients were assessed for intraoperative needs like, time, bleeding, cost , and postoperative early and late hospital stay and pain. Results: Group IIb had significantly lower cost compared to other groups followed by group Ib while group Ia and IIa had the highest cost with no statistically significant difference among them (P<0.001). Group IІb had significantly lower numeric rating scale (NRS) compared to all other groups followed by group Ib, and group IIa. Group Ia had the highest NRS of pain (P<0.001). Conclusions: The hernia repair with less mesh fixation with suture had been proved to be superior to the other technique, as it is cost effective technique, with less postoperative pain, and lower complication rate with no recurrence, followed by mesh fixation with suture. | ||||
| Keywords | ||||
| Laparoscopic Fixation; Less Fixation; of inguinal hernia | ||||
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