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

M.M.Abd El Wahhab, H.E.Ali, M.A.El Begawy and A.M.El Nabawy"


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.

Key words

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