الفهرس | Only 14 pages are availabe for public view |
Abstract Inguinal hernia repair stands as one of the frequently conducted surgical procedures. Over the recent decades, there has been a growing need for advanced procedures in performing laparoscopic inguinal hernia repairs. The main approach is the trans-abdominal pre-peritoneal (TAPP) approach, which is characterized by reduced postoperative discomfort and quicker recovery. There are various techniques for securing mesh in laparoscopic hernia repair, which can be categorized broadly into two groups: mechanical and nonmechanical approaches. Mechanical methods involve the use of fixation devices that penetrate the tissue, like sutures and staple guns. On the other hand, non-mechanical techniques encompass the use of self- adhesive meshes and tissue adhesives. The Aim of the work was to compare mesh fixation by fibrin glue and stapler fixation in laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair and its relation to post-operative pain, cost effectiveness and early recurrence. This was a prospective randomized comparative study that was carried out on thirty patients presented with inguinal hernia attended to gastrointestinal and laparoscopic surgery unit in general surgery department at Tanta university hospitals during the period from July 2022 to July 2023, patients divided into two equal groups group I: subjected to Transabdominal Pre-peritoneal (TAPP) inguinal hernia repair with mesh fixation by absorbable tacker (15 cases). group II: subjected to Transabdominal Pre-peritoneal (TAPP) inguinal hernia repair with mesh fixation by fibrin glue (15 cases). |