الفهرس | Only 14 pages are availabe for public view |
Abstract Background: Hernia is a common problem of the modern world with an incidence ranging from 5%-7%. Of all groin hernias, around 75% are inguinal hernias. Recently with advancement in laparoscopy, endoscopic repairs seem to offer better quality of life, decreasing hospital stay and early return to work. Aim of the Work: to compare between self fixating mesh and fixation of non self fixating mesh with absorbaple tacks in laparoscopic inguinal hernia repair transabdominal preperitoneal (TAPP) approach as regards intraoperative time, complications, postoperative pain, return to normal activity and incidence of recurrence. Patients and Methods: Our study is a randomized prospective study. It was conducted in El Demerdash, Ain- Shams University Hospital on 30 patients with inguinal hernia who were operated upon between September 2018 and December 2018 with minimal follow up of 3 months. Results: Our study demonstrates that laparoscopic inguinal hernia repair using the TAPP technique with implantation of a new Parietex™ ProGrip™ laparoscopic self-fixation mesh is a fast, effective and reliable method in experienced hands, which combines the advantages of laparoscopic approach with simple and practical implantation of self-fixation mesh, which, according to our results, reduces the occurrence of chronic pain and the recurrence rate. Conclusion: after this comparative study, both the use of SGM and fixation of mesh by absorpable tacks approaches are similarly effective in terms of operative time, the incidence of recurrence, complications and chronic pain coinciding with all the available literature. |