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

Abstract

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.