Outcomes of mesh fixation versus non fixation in laparoscopic transabdominal preperitoneal inguinal hernia repair: a randomized clinical study
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 include...
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| Format: | Article |
| Language: | English |
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Pakistan Medical Association
2023-05-01
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| Series: | Journal of the Pakistan Medical Association |
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| Online Access: | https://ojs.jpma.org.pk/index.php/public_html/article/view/9846 |
| _version_ | 1797812074589454336 |
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| author | Reda Fawzy Ali Ragab Mahmoud Elhussainy Ahmed Mahmoud Aouf Taha Ahmed Ismail Khalid Ahmed Ismail |
| author_facet | Reda Fawzy Ali Ragab Mahmoud Elhussainy Ahmed Mahmoud Aouf Taha Ahmed Ismail Khalid Ahmed Ismail |
| author_sort | Reda Fawzy Ali |
| collection | DOAJ |
| description |
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<0.001). The fixation group had significantly more operative time than non fixation, with a mean (69.34±13.55, 60.92±10.18) respectively. Recurrence rate and postoperative complications did not show any significant difference between the studied groups.
Conclusion: Mesh non-fixation for laparoscopic TAPP hernia repair is safe, practical, and effective with minimal postoperative pain and no increased risk of recurrence.
Keywords: Hernia, Inguinal, Herniorrhaphy, Seroma, Laparoscopy, Hematoma, Edema
RCT registration: NCT05430984, Link: https://ichgcp.net/clinical-trials-registry/NCT05430984
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| first_indexed | 2024-03-13T07:33:11Z |
| format | Article |
| id | doaj.art-1aa2c9deb2fd4105be7a3552f2f66319 |
| institution | Directory Open Access Journal |
| issn | 0030-9982 |
| language | English |
| last_indexed | 2024-03-13T07:33:11Z |
| publishDate | 2023-05-01 |
| publisher | Pakistan Medical Association |
| record_format | Article |
| series | Journal of the Pakistan Medical Association |
| spelling | doaj.art-1aa2c9deb2fd4105be7a3552f2f663192023-06-04T04:23:19ZengPakistan Medical AssociationJournal of the Pakistan Medical Association0030-99822023-05-0173410.47391/JPMA.EGY-S4-2Outcomes of mesh fixation versus non fixation in laparoscopic transabdominal preperitoneal inguinal hernia repair: a randomized clinical studyReda Fawzy Ali0Ragab Mahmoud Elhussainy1Ahmed Mahmoud Aouf2Taha Ahmed Ismail3Khalid Ahmed Ismail4Department of General Surgery, Kafrelsheikh University, Egypt.Department of General Surgery, Kafrelsheikh University, Egypt.Department of General Surgery, Kafrelsheikh University, Egypt.Department of General Surgery, Kafrelsheikh University, Egypt.Department of General Surgery, Kafrelsheikh University, Egypt. 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<0.001). The fixation group had significantly more operative time than non fixation, with a mean (69.34±13.55, 60.92±10.18) respectively. Recurrence rate and postoperative complications did not show any significant difference between the studied groups. Conclusion: Mesh non-fixation for laparoscopic TAPP hernia repair is safe, practical, and effective with minimal postoperative pain and no increased risk of recurrence. Keywords: Hernia, Inguinal, Herniorrhaphy, Seroma, Laparoscopy, Hematoma, Edema RCT registration: NCT05430984, Link: https://ichgcp.net/clinical-trials-registry/NCT05430984 https://ojs.jpma.org.pk/index.php/public_html/article/view/9846Outcomes of meshInguinal, HerniorrhaphySeromaLaparoscopyHematomaEdema |
| spellingShingle | Reda Fawzy Ali Ragab Mahmoud Elhussainy Ahmed Mahmoud Aouf Taha Ahmed Ismail Khalid Ahmed Ismail Outcomes of mesh fixation versus non fixation in laparoscopic transabdominal preperitoneal inguinal hernia repair: a randomized clinical study Journal of the Pakistan Medical Association Outcomes of mesh Inguinal, Herniorrhaphy Seroma Laparoscopy Hematoma Edema |
| title | Outcomes of mesh fixation versus non fixation in laparoscopic transabdominal preperitoneal inguinal hernia repair: a randomized clinical study |
| title_full | Outcomes of mesh fixation versus non fixation in laparoscopic transabdominal preperitoneal inguinal hernia repair: a randomized clinical study |
| title_fullStr | Outcomes of mesh fixation versus non fixation in laparoscopic transabdominal preperitoneal inguinal hernia repair: a randomized clinical study |
| title_full_unstemmed | Outcomes of mesh fixation versus non fixation in laparoscopic transabdominal preperitoneal inguinal hernia repair: a randomized clinical study |
| title_short | Outcomes of mesh fixation versus non fixation in laparoscopic transabdominal preperitoneal inguinal hernia repair: a randomized clinical study |
| title_sort | outcomes of mesh fixation versus non fixation in laparoscopic transabdominal preperitoneal inguinal hernia repair a randomized clinical study |
| topic | Outcomes of mesh Inguinal, Herniorrhaphy Seroma Laparoscopy Hematoma Edema |
| url | https://ojs.jpma.org.pk/index.php/public_html/article/view/9846 |
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