Background: Several methods are used for mesh fixation in laparoscopic hernia repair including staples, tackers, sutures,
and polycyanoacrylate derivatives.
Objective: This study aimed to compare the outcomes of fixation versus non fixation of the mesh in laparoscopic transabdominal preperitoneal repair (TAPP).
Patients and methods: The current study include 64 male patients who were eligible for TAPP repair. They were divided
into two groups: Group A (n =32) underwent TAPP with mesh fixation, while group B (n=32) underwent TAPP without
mesh fixation. Follow up was done for Operative time and times to ambulation, return to daily activity, long-term follow
up for recurrence and postoperative pain.
Results: The mean age was 42.7 ± 4.5 and 44.2 ± 3.9 years in groups A and B respectively. There was significantly less
mean operative time in group B than in group A. There was no statistically significant difference regarding early postoperative pain in both groups. The reported time for return to basic, home and work activities were almost the same with no
reported significant difference. For long-term follow up there was statistically significant less chronic pain and FB sensation
in group B. There was no reported recurrence, or testicular atrophy in both groups.
Conclusion: According to the current results, TAPP repair can be done without significant impact on the outcomes |
