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Outcomes Of Mesh Fixation Versus Non Fixation In Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair: A
Reda Fawzy Ali1, Ragab Mahmoud Elhussainy1, Ahmed Mahmoud Aouf1
1Department of General Surgery, Kafrelsheikh University,Egypt.
JPMA. the Journal of the Pakistan Medical Association
|July 24, 2023
Summary
Mesh non-fixation in laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair is safe and effective, leading to significantly less postoperative pain without increasing recurrence risk.
Area of Science:
- General Surgery
- Minimally Invasive Surgery
Background:
- Inguinal hernias are common surgical conditions.
- Laparoscopic transabdominal preperitoneal (TAPP) repair is a standard treatment.
- Mesh fixation is a debated aspect of TAPP procedures.
Purpose of the Study:
- To compare TAPP inguinal hernia repair with and without mesh fixation.
- To evaluate outcomes including postoperative pain, recurrence, operative time, and complications.
Main Methods:
- Randomized controlled clinical trial with 100 patients.
- Comparison between TAPP with mesh fixation (Group A) and fixation-free TAPP (Group B).
- Data collected from January 2021 to June 2022.
Main Results:
- Significantly lower postoperative pain scores in the non-fixation group at all measured time points (p<0.001).
- Shorter operative time in the non-fixation group.
- No significant difference in recurrence rates or postoperative complications between groups.
Conclusions:
- Mesh non-fixation for TAPP inguinal hernia repair is safe, practical, and effective.
- Fixation-free TAPP offers reduced postoperative pain.
- Non-fixation does not increase the risk of hernia recurrence.
