Outcomes of mesh fixation versus non fixation in laparoscopic transabdominal preperitoneal inguinal hernia repair: a randomized clinical study

Autor: Reda Fawzy Ali, Ragab Mahmoud Elhussainy, Ahmed Mahmoud Aouf, Taha Ahmed Ismail, Khalid Ahmed Ismail
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Journal of the Pakistan Medical Association, Vol 73, Iss 4 (2023)
Druh dokumentu: article
ISSN: 0030-9982
DOI: 10.47391/JPMA.EGY-S4-2
Popis: Objective: The present study aimed to compare the results of laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair with and without mesh fixation regarding postoperative pain, recurrence, operative time, and complications. Methods: This randomized controlled clinical trial included 100 patients who underwent TAPP inguinal hernia with mesh fixation (group A) or a fixation-free procedure (group B) for early onset inguinal hernia at the General Surgery Department, Kafrelsheikh University Hospital, from January 2021 to June 2022. Results: The parameters for pain assessment (NRS) in the first week (mean 7 (5 – 8)), the first month (mean 3 (1 – 5)), and after three months (mean 0 - (70% of patients), (mean 1- (30% of patients) were significantly higher in the fixation group (p
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