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117021

Short Term Outcome of Laparoscopic Trans-Abdominal Preperitoneal (TAPP) Inguinal Hernia Repair Without Mesh Fixation, a Comparative Study

Article

Last updated: 24 Dec 2024

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Abstract

Background: Laparoscopic repair of groin hernia is gaining popularity, most surgeons follow up the consensus of mesh fixation especially by tissue penetrating methods, as mesh fixation helps prevent recurrence it also, may cause nerve injuries leading to acute and/or chronic postoperative pain, many alternatives for mesh fixation do exists as use of self-gripping mesh, use of absorbable tacks, use of fibrin glue and the mesh placement in the extra-peritoneal space without fixation as we tried to investigate in this study.
Patient and method: 46 patients undergoing laparoscopic trans-abdominal preperitoneal repair of groin hernia were randomly allocated into two equal groups, A (group of mesh fixation with absorbable tacks) and B (group of mesh no fixation). Preoperative, operative, and postoperative data in both groups, namely recurrence rate, acute and chronic pain, and local complications were statistically analyzed in comparison to each other.
Results: Throughout the analysis of the data there were no statistically significant differences between both groups regarding demographic data, hernia side, and hernia type. the operative time, acute pain score, and incidence of chronic pain were longer in the fixation group without statistical significance, we recorded one case of recurrence in the non-fixation group but without statistical significance.
Conclusion: Mesh placement in the preperitoneal space during laparoscopic trans-abdominal pre-peritoneal repair of inguinal hernia is a safe efficient method as it is not associated with increased recurrence rate or postoperative pain.

DOI

10.21608/ejhm.2020.117021

Keywords

Groin hernia, Mesh fixation, Laparoscopic repair

Authors

First Name

Hatem

Last Name

Mohammad

MiddleName

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Affiliation

Department of General Surgery, Faculty of Medicine, Zagazig University, Sharkia, Egypt

Email

dr.hatem.2009@gmail.com

City

-

Orcid

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First Name

Alaa A.

Last Name

FIAD

MiddleName

-

Affiliation

Department of General Surgery, Faculty of Medicine, Zagazig University, Sharkia, Egypt

Email

-

City

-

Orcid

-

First Name

Hazem

Last Name

Nour

MiddleName

-

Affiliation

Department of General Surgery, Faculty of Medicine, Zagazig University, Sharkia, Egypt

Email

-

City

-

Orcid

-

First Name

Abdelwahab M.

Last Name

Hamed

MiddleName

-

Affiliation

Department of General Surgery, Faculty of Medicine, Zagazig University, Sharkia, Egypt

Email

-

City

-

Orcid

-

Volume

81

Article Issue

3

Related Issue

17515

Issue Date

2020-10-01

Receive Date

2020-10-04

Publish Date

2020-10-01

Page Start

1,644

Page End

1,647

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 81_Issue 3_Pages 1644-1647.pdf

PDF . 411.6kB

Link

https://ejhm.journals.ekb.eg/article_117021.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=117021

Order

18

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Short Term Outcome of Laparoscopic Trans-Abdominal Preperitoneal (TAPP) Inguinal Hernia Repair Without Mesh Fixation, a Comparative Study

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Type

Article

Created At

22 Jan 2023