Laparoscopic Groin Hernia Repair with Fixation through Transabdominal Polyprolene Stitches: A Randomized Prospective Study

Abstract

Background: Laparoscopic repair of inguinal hernias is associated with less postoperative pain and a faster rehabilitation, but its high cost was a changeling matter. Patients and methods: We performed a randomized prospective study in Ain Shams University hospitals form July 2012 and April 2014 in which 50 male patients with primary unilateral or bilateral inguinal hernia were treated by laparoscopic transabdominal preperitoneal repair (TAPP) and mesh fixation through transabdominal polyprolene sutures. We recorded information about operative details, operative time, intraoperative complications, postoperative recovery, postoperative complications, and long term follow-up for one year after surgery. Results: No major intra or postoperative complications had occurred, only 2 patients were converted to open Lichtenstein’s repair. Mean operative time was significantly accepted. Hospital stay, recovery period were excellent. Only one patient had unacceptable postoperative pain which decreased over a year during his follow up. After a 1 year follow up period, only in single case of recurrence has been diagnosed. Conclusion: Laparoscopic transabdominal preperitoneal repair (TAPP) and mesh fixation through transabdominal polyprolene stitches when efficiently experienced and mastered is an accepted and excellent surgical choice for inguinal hernia repair because of its cost effectiveness and less incidence of chronic pain syndrome.