Abstract
Purpose Better fixation of the mesh with better application to the posterior inguinal wall. Background: Stapling of the mesh is costly, that is why in Abdelhamid technique we are fixing it to outside, reducing the cost and port sizes without jeopardizing the outcome .Our technique can adjust the tension applied to the mesh with better justification of the size of the mesh. Patients: The study was conducted at Beni _ Suef university hospitals, between April 2018 and April 2020. Included in the study were 30 patients with unilateral primary inguinal hernia. Methods: A prospective trial was conducted modifying Abdelhamid technique for laparoscopic. TAPP inguinal hernia repair in which we fixed the mesh to the anterior abdominal wall using two prolene threads that passed to the exterior and were tied in place but the mesh was applied under the cord. Results: The operative time ranged from 40 to 60 min and follow up was for 12–16 months, during which time there was no hernia recurrence, nor TAPP pain. The procedure showed better application of the mesh on the posterior inguinal wall with reduced port sizes and was also associated with reduced cost. Conclusion: Direct application of the mesh to the posterior inguinal wall is associated with better fixation with completely abolishing the disparity in the size between the mesh and the posterior abdominal wall.
Highlights
3500 years ago, Egyptian physicians documented hernia management by conservative means that included the snuggly fitting bandage for reduction and support. ) Ebers prepared a partial translation of the papyrus in 1875, which was later completed by Bendix Ebbell, a Norwegian physician
A prospective trial was conducted for modifying Abdelhamid technique for laparoscopic TAPP inguinal hernia repair in which we fixed the mesh to the anterior abdominal wall using two prolene threads that passed to the exterior and were tied in place as in Abdelhamid technique but the mesh was applied under the cord
At regular outpatient follow up no patient complained of pain at the external fixation site
Summary
3500 years ago, Egyptian physicians documented hernia management by conservative means that included the snuggly fitting bandage for reduction and support. ) Ebers prepared a partial translation of the papyrus in 1875, which was later completed by Bendix Ebbell, a Norwegian physician. 3500 years ago, Egyptian physicians documented hernia management by conservative means that included the snuggly fitting bandage for reduction and support. Ebbell’s study of the papyrus suggested that the ancient Egyptians had attained a high level of surgical skill and had developed procedures for hernia management (1). It is clear that in the original arabic manuscripts, Albucasis was speaking about herniorrhaphy and not trans fixation about 800 years before Bassini (2) It was the Italian surgeon Eduardo Bassini (1844-1924) who around 1884 invented such new concept with his muscular reinforcement technique of the posterior wall (3). The most important criteria for the choosing of operation are safety (morbidity and mortality), reoperation and patient satisfaction. Great importance has been paid for post repair pain, LOS and convalescence [4]
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