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India | Medical Surgical | Volume 12 Issue 4, April 2023 | Pages: 565 - 568
Evaluation of Outcome of Laparoscopic Transabdominal Pre Peritoneal Repair of Inguinal Hernia with Special Reference to Comparison of Result between Fixation and Non Fixation of Mesh
Abstract: Aim: This randomized prospective comparative study was done to evaluate and compare fixation with non-fixation of mesh in Trans abdominal pre peritoneal (TAPP) inguinal hernia repair in terms of postoperative complication, recurrence, pain (VAS) regarding the procedure and necessity regarding fixation of mesh. Methods: 60 patients with inguinal hernia were selected in which 30 patients were allotted to the group A for fixation of mesh and 30 patients to group B for non-fixation of the mesh during their hernia repairs by laparoscopic TAPP. Results: In fixation mean age was 42.36 and in non-fixation 42.44. The operative time for fixation was 95.83 min and for non-fixation 56.83 min (p=.000). Using Visual analog scale, pain among fixation and non-fixation at 12, 24, 72 hrs, 1 and 6 months was statistically significant (p<0.05). Average Hospital stay for fixation was 3.63 days and for non-fixation was 2.93 days (p=.000). Intra operative complication for fixation was 3.33% and for non-fixation was 0%, p=0.313. Postoperative complication for fixation was 10% and non-fixation was 6.6%, p=0.640. Conclusion: Stapling mesh in TAPP offers no advantage over non-fixation of mesh and non-fixation of mesh in TAPP appears to be a safer alternative with less pain, shorter operative time and shorter hospital stay.
Keywords: Trans abdominal pre peritoneal, TAPP, Fixation of Mesh, Complication
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