Aim
The aim was to examine laparoscopic transabdominal preperitoneal patch repair (TAPP) repair of bilateral inguinal hernia using one big mesh instead of using one mesh for each side as usual.
Patients and methods
A prospective cohort trial was carried out on 40 patients with bilateral inguinal hernia. Laparoscopic TAPP repair using a single large mesh with fixation, and the preoperative and postoperative (PO) course of each patient was followed up for 24 months.
Results
Operative time ranged from 70 to 110 min. Blood loss in the operation ranged from 10 to 50 ml, with a mean value of 21.79 ± 8.23 ml. Bleeding occurred in two patients (5%) with hospital stay ranged from 1 to 3 days. Regarding PO complications, port infection occurred in one (2.5%) patients, hematoma occurred in only one (2.5%) patient, orchitis occurred in three (7.5%) patients, and groin pain occurred in three (7.5%) patients. None of the patients had recurrence, and the time to return of normal activities ranged from 4 to 9 days.
Conclusion
The use of a single large mesh during laparoscopic TAPP repair for bilateral inguinal hernias is a method that is possible, safe, and cost-effective with low rates of PO morbidities with a low recurrence rate.