Rahul Naik, MBBS, MS,, Gen, Surgery, DNB, G, I, Surg. Rahul Hospital, Surat
Controversy exists regarding whether it is necessary to secure the mesh prosthesis during laparoscopic transabdominalpreperitoneal (TAPP) inguinal hernia repair. It is unknown whether fixing the mesh affects recurrence rate, incidence of neuralgia.
We conducted a prospective trial comparing fixed with takers against non fixed laparoscopic TAPP inguinal hernia repairs in a series of 100 consecutive patients undergoing elective inguinal hernia repair at our hospital between January 2011 and June 2013.
In all, 50 non fixed and 50 taker fixed were performed in 85 patients. Patients were evaluated at a follow-up of 12 months. There was no statistical difference in the incidence of recurrence (0 to 50 non fixed, 1 to 50 fixed). The overall recurrence rate was 1%. There was no significant difference in operative time, chronic pain or neuralgia between the two groups.
It is not necessary to secure the mesh during laparoscopic TAPP inguinal hernia repair. It doesn’t affect post operative pain or neuralgia,