الفهرس 
REGIONANATOMY OF THE INGUINALOnly 14 pages are availabe for public view
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Abstract
The most important advance in hernia surgery has been the development of tension-free repairs. In 1958, Usher described a hernia repair using marlex mesh. The benefit of the repair he described as being “tension-eliminating” or what we now call” tension-free”. (AI Gilbert, 2001)
Every type of tension-free repair requires a mesh, whether it is done through an open anterior, open posterior, or laparoscopic route (AI Gilbert, 2001).
This work was conducted to evaluate the differences in results between two types of mesh fixation in inguinal hernia repair, the skin staples and the polypropylene regarding operative time, hospital stay, cost, morbidity and return to work.
We had 80 patients randomly classified into two groups, group A were the mesh secured with skin staples and group B were the mesh secured with polypropylene. Each group includes 40 patients.
Our results were less operative time in group A (Mesh secured with Skin staples) with al most the same, cost, hospital stay morbidity and return to work.
from this work we conclude that laparoscopic hernia repair had many disadvantages being technically difficult, higher recurrence, time consuming and more expensive than the open hernia surgery although with the use of reusable instruments the cost is the same. But unfortunately the risk of hepatitis C virus (HCV) transmission is very high in the presence of unguaruteed sterilization especially with the high incidence of HCV in our population, but it has the advantage of other side hernia early detection and the repair of femoral hernias in the same operation (TAPP operation), less post operative pain and faster return to work.
The Lichtenstein operation offers easier technique, less cost, Less recurrence. The use of skin staples made the procedure shorter, easier, decrease the time of operation which gives less risk of wound infection with minimal increase of cost and almost the same post operative pain and return to work.