TITLE:
Transabdominal Pre-Peritoneal Mesh for Inguinal Hernia Repair with External Fixation versus Mesh Stapling
AUTHORS:
Mohamed Abdelhamid, Ahmed Mohamed Sadat, Ayman Refaat Abdelhaseeb, Tamer Mohamed Nabil, Mohamed Salah Abdelbasset, Amro Mohamed Ali Bechet, Hesham Ahmed Nafady, Kalid Ahmed Shawky
KEYWORDS:
Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair; Mesh Prosthesis Fixation; Cost-Stapling
JOURNAL NAME:
Surgical Science,
Vol.4 No.11,
November
28,
2013
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.