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135484

Mesh Fixation Versus non Fixation in Laparoscopic Trans Abdominal Preperitoneal Repair of Inguinal Hernia, A Comparative Study

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Last updated: 28 Dec 2024

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Abstract

The purpose of this study is making a comparison between the outcome of fixation und non fixation in the laparoscopically repair of inguinal hernia.Two major complications with laparoscopic inguinal hernia (IH) repair are recurrences and chronic groin pain (CGP). The procedure involves fixing the mesh with the tackers which is believed to increase the rate of CGP due to nerve injuries. Thus, non-fixation of mesh is considered to decrease but regarding increased recurrences. In this Retrospective study of database of 50 repairs was done on 50 patients (fixation 25 and non-fixation 25) during a period of 1 years with minimum of 6 months of clinical follow-up. The primary objective was to assess the recurrence rates and CGP and the secondary objective was to assess operative times, post-op pain, duration of hospital stay, and cost.There is slight increase in (operative time, hospital stay and post-operative complication) in fixation method more than non-fixation .Non-fixation of mesh in (TAPP) does not lead to increased recurrence but decreased costs.There is significant difference between mesh fixation and non-fixation as regard to operation time, cost and hospital stay.

DOI

10.21608/bjas.2020.135484

Keywords

Inguinal hernia, Laparoscopic repair, Trans Abdominal Preperitonial repair, Non-fixation of mesh, Recurrence rates, Chronic groin pain

Authors

First Name

M.M.

Last Name

Abd El Wahhab

MiddleName

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Affiliation

Pediatrics Dept, Faculty Of Medicine, Benha Univ., Benha, Egypt

Email

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Orcid

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First Name

H.E.

Last Name

Ali

MiddleName

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Affiliation

Pediatrics Dept, Faculty Of Medicine, Benha Univ., Benha, Egypt

Email

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City

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Orcid

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First Name

M.A.

Last Name

El Begawy

MiddleName

-

Affiliation

Pediatrics Dept, Faculty Of Medicine, Benha Univ., Benha, Egypt

Email

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City

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Orcid

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First Name

A.M.

Last Name

El Nabawy

MiddleName

-

Affiliation

Pediatrics Dept, Faculty Of Medicine, Benha Univ., Benha, Egypt

Email

-

City

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Orcid

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Volume

5

Article Issue

Issue 2 part (2)

Related Issue

20199

Issue Date

2020-02-01

Receive Date

2020-01-04

Publish Date

2020-02-01

Page Start

199

Page End

206

Print ISSN

2356-9751

Online ISSN

2356-976X

Link

https://bjas.journals.ekb.eg/article_135484.html

Detail API

https://bjas.journals.ekb.eg/service?article_code=135484

Order

4

Type

Original Research Papers

Type Code

1,647

Publication Type

Journal

Publication Title

Benha Journal of Applied Sciences

Publication Link

https://bjas.journals.ekb.eg/

MainTitle

Mesh Fixation Versus non Fixation in Laparoscopic Trans Abdominal Preperitoneal Repair of Inguinal Hernia, A Comparative Study

Details

Type

Article

Created At

23 Jan 2023