Mesh Fixation versus Non-Fixation in Laparoscopic Transabdominal Preperitoneal (TAPP) Repair of Inguinal Hernia | ||
| Zagazig University Medical Journal | ||
| Articles in Press, Accepted Manuscript, Available Online from 25 November 2025 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/zumj.2025.436049.4281 | ||
| Authors | ||
| Malik Abdullah Faraj Haneesh* 1; Tarek Ezzat Abdellatif1; Yasser A. Orban1; Yousef Ahmed El-Ayman2 | ||
| 1General Surgery Department, Faculty of Medicine, Zagazig University, Egypt | ||
| 2Lecturer of General Surgery, Faculty of Medicine, Zagazig University, Egypt | ||
| Abstract | ||
| Background: Inguinal hernia is one of the most prevalent surgical conditions, especially among men. The benefits of laparoscopic transabdominal preperitoneal (TAPP) repair—less postoperative discomfort, quicker recovery, and an earlier return to normal activity—are driving its usage. Chronic groin pain (CGP), which is frequently linked to mesh fixation, is a significant problem after TAPP. Non-fixation methods to lessen postoperative discomfort without raising the risk of recurrence have been suggested by a number of recent research. Methods: This prospective randomized controlled study was conducted at the Liver, GIT and Endo-laparoscopic Surgery Unit, Zagazig University Hospitals, from September 2024 to March 2025, including 30 patients with unilateral, non-recurrent, non-complicated inguinal hernia. Patients were randomly allocated into two groups: Group A (Fixation group, n=15): Mesh was fixed using tackers. Group B (Non-fixation group, n=15): Mesh was placed without fixation, relying on intra-abdominal pressure after peritoneal flap closure. Operative time, postoperative pain (VAS), hospital stay, complications, cost, and early recurrence were compared. Results: There was no significant difference between two groups in terms of recurrence or postoperative complications. The non-fixation group demonstrated a shorter operative time, lower postoperative pain scores, shorter hospital stay, and lower total cost compared to the fixation group. No increase in recurrence rate was observed in the non-fixation group during the 6-month follow-up. Conclusion: Laparoscopic TAPP inguinal hernia repair using non-fixation of mesh is a safe and economical procedure. Without raising the chance of problems or recurrence, it dramatically cuts down on hospital stays, postoperative pain, and operating time. | ||
| Keywords | ||
| Inguinal hernia; Laparoscopic repair; TAPP; Mesh fixation; Non-fixation | ||
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