Short Term Outcome of Laparoscopic Trans-Abdominal Preperitoneal (TAPP) Inguinal Hernia Repair Without Mesh Fixation, a Comparative Study

Mohammad, Hatem; Fiad, Alaa A.; Nour, Hazem; Hamed, Abdelwahab M.

doi:10.21608/ejhm.2020.117021

Cited by 4 publications

(3 citation statements)

References 12 publications

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“…This result agrees with result of Wasim et al (13( which was scrotal swelling in two cases one of them in form of seroma (6.6%) and another in form of hematoma (6.6%). On other hand Mohammad et al (6) showed that Hematoma and seroma had no statistically significant differences in both groups; we reported zero cases of scrotal swelling in both groups during the postoperative follow-up time.…”

Section: Discussioncontrasting

confidence: 55%

“…Injuries to the inferior epigastric arteries, femoral nerve, genitofemoral nerve, and lateral cutaneous nerve of the thigh were the most frequently reported consequences. Due to adhesion between the viscera and the utilized tacks, certain studies have observed colonic and small intestinal fistula, which can cause severe pain and may require surgical intervention (6) .…”

Section: Introductionmentioning

confidence: 99%

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Mesh Fixation by Fibrin Glue versus Tackers in Laparoscopic Transabdominal Preperitoneal (TAPP) Repair of Inguinal Hernia

Salah¹,

Salim²,

Mansour³

et al. 2022

The Egyptian Journal of Hospital Medicine

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Background: As laparoscopic repair of groin hernia is gaining popularity; most surgeons argue over which mesh fixation techniques are the best. Objective: The present study was conducted to compare the outcomes of mesh fixation using fibrin glue versus tackers in laparoscopic transabdominal preperitoneal (TAPP) repair of inguinal hernia, with the ultimate goal of bettering the health and happiness of inguinal hernia patients. Subjects and Methods: This study included a total of 24 inguinal hernia patients chosen for laparoscopic transabdominal preperitoneal repair with mesh fixation by fibrin glue versus tackers, attending at General Surgery Department, Zagazig University Hospitals. Patients were randomly divided into 2 equally groups: Group (A) A fibrin glue was used to fix the mesh and Group (B) Using tackers, to fixed the mesh. Results: There was a statistically significant difference between the groups investigated in terms of operative time, with the fibrin glue group taking significantly longer than the tackers group. Within-day pain and length of hospital stay did not differ significantly between the groups. While return to daily activity was faster in fibrin glue groups. The cost of all cases of fibrin glue group was lower than that of tackers group. Conclusion: It could be concluded that mesh fixation by fibrin glue is better than tacker as mesh fixation with glue causes less post-operative pain and less analgesia is needed as well as low financial cost.

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Section: Discussioncontrasting

confidence: 55%

Section: Introductionmentioning

confidence: 99%

Mesh Fixation by Fibrin Glue versus Tackers in Laparoscopic Transabdominal Preperitoneal (TAPP) Repair of Inguinal Hernia

Salah¹,

Salim²,

Mansour³

et al. 2022

The Egyptian Journal of Hospital Medicine

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“…2 The prevelance of inguinal hernia ranges from about 110 per 10 thousands-male patients aged between 16 to -24 years-old to 2 thousands per 10 thousands malepatients with 75-years old or older in males. 5 Males are more commonly affected by inguinal hernia than females. The male to female ratio is approximately 9 to 1.…”

Section: Introductionmentioning

confidence: 99%

Comparative Study of Different types of Mesh Fixation during Laparoscopic Repair of Inguinal Hernia

al-bendary

Ibrahim²,

hekal³

2022

Al-Azhar International Medical Journal

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Background: Prevalence of inguinal hernia worldwide is 15%-45% at different ages that requires surgical repair. At present, inguinalprotrusion (hernia) is a common surgical method with mesh repair. The modern mesh type includes a variety of materials, and surgical options include using fixation mesh, sutures, rigging or staples, self-meshes and fibrin-fixation, or other types of glue. Aim of the work:To assess and compare the efficacy of mesh fixation using fibrin glue, tacks and sutures during laparoscopic repair of inguinal-protrusion. Patients and methods: Randomized-study involved; 15 male-patients presented with inguinal-protrusion (hernia) at Al-Azhar university hospitals using laparoscopic trans-abdominal pre-peritoneal repair. According to the mesh fixation method, Patients were divided into three different groups: Group 1: using fibrin glue, Group 2: using staple, and Group 3: using sutures. Results: Age were no statistically significant difference between groups. Operative time was highly statistically significant difference between groups there were no intra-operative complications in all groups. Postoperative pain score shows highly statistically significant differences between groups in all follow up time except after 6 months there were no statistically significant differences between groups. Early post-operative, hospital stay, Economic Cost complications were no statistically significant differences between groups. There was no Recurrence found at follow up in all groups. Conclusion: Our study revealed that fibrin glue method is considered comparable, cost effective method for mesh fixation. According to our findings; observed that fibrin glue have fast recovery, less hospital stay, cost effective, less complications and low recurrence rate.

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A Comparative study of suture fixed versus nonfixed mesh techniques in laparoscopic trans-abdominal preperitoneal repair of noncomplicated adult inguinal hernia

Thabet,

Ali,

Essawy

2023

The Egyptian Journal of Surgery

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Aim This study aimed at comparing the effect of sutured mesh fixation and non-fixation in cases of laparoscopic trans-abdominal preperitoneal (TAPP) in terms of operative time, hospital stay, and complications particularly recurrence and chronic groin pain (CGP). Patients and methods This prospective randomized comparative study included 40 patients diagnosed with noncomplicated inguinal hernias admitted to the Department of Surgery at Fayoum University Hospital, Egypt from March 2019 to July 2021. Cases were divided into two groups by draw of lots; group A as mesh fixation (n=20) and group B as nonfixation (n=20). Results The results were calculated with χ 2test (P value). Results were found to be not significant in demographic features, in-hospital stay, hernia characteristics, and complications i.e. (intraoperative, postoperative, and long term) and were significant as regards operative time and early postoperative pain in favor of nonfixation group and results were highly significant (P < 0.001). Conclusion TAPP repair without mesh fixation shows advantages over mesh fixation, which include significantly less early postoperative inguinal pain and operative time, with comparable intraoperative, postoperative, and long-term complications (with no increase in hernia recurrence), hospital stay, and mean operative time. Hence, our study favors TAPP without mesh fixation a valuable alternative option.

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Short Term Outcome of Laparoscopic Trans-Abdominal Preperitoneal (TAPP) Inguinal Hernia Repair Without Mesh Fixation, a Comparative Study

Cited by 4 publications

References 12 publications

Mesh Fixation by Fibrin Glue versus Tackers in Laparoscopic Transabdominal Preperitoneal (TAPP) Repair of Inguinal Hernia

Mesh Fixation by Fibrin Glue versus Tackers in Laparoscopic Transabdominal Preperitoneal (TAPP) Repair of Inguinal Hernia

Comparative Study of Different types of Mesh Fixation during Laparoscopic Repair of Inguinal Hernia

A Comparative study of suture fixed versus nonfixed mesh techniques in laparoscopic trans-abdominal preperitoneal repair of noncomplicated adult inguinal hernia

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