Comparative Study between Mesh Fixation vs. Non-Fixation in Totally Extraperitoneal Hernioplasty for Inguinal Hernia
Journal of Surgery
Volume 6, Issue 1, February 2018, Pages: 23-28
Received: Jan. 13, 2018; Accepted: Jan. 26, 2018; Published: Feb. 19, 2018
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Authors
Osama Hasan Abd-Raboh, General Surgery Department, Tanta University Hospitals, Tanta, Egypt
Mohamed Abdallah Hablus, General Surgery Department, Tanta University Hospitals, Tanta, Egypt
Ahmed Abdelfatah Elshora, General Surgery Department, Tanta University Hospitals, Tanta, Egypt
Sherif Abdelfatah Saber, General Surgery Department, Tanta University Hospitals, Tanta, Egypt
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Abstract
Aim of the work: Randomized comparative study comparing outcome of mesh fixation versus non-fixation in TEP technique for inguinal hernia repair. Methods: In Tanta University Hospitals, over the period from February 2015 to October 2017, 58 patients with with 67 inguinal hernias (9 bilateral) undergoing TEP technique were randomized into 2 groups: Group A; mesh fixation 31 patients with 35 hernias. Group B; mesh non-fixation 27 patients with 32 hernias. Follow up was 6-17 months. Results: There was no statistical difference between 2 groups regarding operative time, postoperative complications, length of hospital stay and risk of chronic groin pain. Postoperative pain score was higher in Group A (mesh fixation). There was one case of hernia recurrence in group A (hernia and recurrence were both indirect), however, risk of hernia recurrence was not statistically significant. Conclusion: Mesh fixation and non-fixation in TEP are comparable regarding operative time, complications and hospital stay, while pain score was higher with mesh fixation. Mesh fixation does not increase the risk of chronic groin pain, while non-fixation does not increase hernia recurrence rate. Both techniques were proved safe.
Keywords
Inguinal Hernia, TEP, Totally Extraperitoneal, Mesh, Fixation, Tacker, Mesh Migration, Hernia Recurrence
To cite this article
Osama Hasan Abd-Raboh, Mohamed Abdallah Hablus, Ahmed Abdelfatah Elshora, Sherif Abdelfatah Saber, Comparative Study between Mesh Fixation vs. Non-Fixation in Totally Extraperitoneal Hernioplasty for Inguinal Hernia, Journal of Surgery. Vol. 6, No. 1, 2018, pp. 23-28. doi: 10.11648/j.js.20180601.15
Copyright
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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