Transabdominal Pre-Peritoneal Mesh for Inguinal Hernia Repair with External Fixation versus Mesh Stapling

Mohamed Abdelhamid, Ahmed Mohamed Sadat, Ayman Refaat Abdelhaseeb, Tamer Mohamed Nabil, Mohamed Salah Abdelbasset, Amro Mohamed Ali Bechet, Hesham Ahmed Nafady, Kalid Ahmed Shawky

Faculty of Medicine, Bani Swif University, Bani Swif, Egypt.

DOI: 10.4236/ss.2013.411100                

Abstract

Background: It is unknown whether stapling the mesh affects recurrence rate, incidence of neuralgia, and port-site hernia. We chose to fix it to the exterior reducing port size, cost and pain, at the same comparing this with traditional mesh stapling. Methods: We conducted a prospective trial for laparoscopic TAPP inguinal hernia repair on 120 patients in which we fixed the mesh to the anterior abdominal wall using either two prolene threads that passed to the exterior and tied in place or traditional mesh stapling. Results: The operative time is ranged from 35 to 70 minutes for external fixation, 30 to 60 minutes for mesh stapling, and 4 to 51 months for follow-up, and no recurrence occurred in both groups during the procedure. Two cases with post TAPP pain in mesh stapling patients are discussed with reduction of the cost and port size in external fixation patients. Conclusion: It is not necessary to secure the mesh during laparoscopic TAPP inguinal hernia repair from the interior and it is fixed only to the exterior allowing a reduction in size of the ports and considerable reduction in cost with elimination of TAPP associated post operative pain.

Keywords

Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair; Mesh Prosthesis Fixation; Cost-Stapling

Conflicts of Interest

The authors declare no conflicts of interest.

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