Laparoscopic Transabdominal Preperitoneal Surgical Repair of Inguinal Hernia Using Sutured Repair Versus Tacker Use

Damanhour Teaching Hospital

Status

Completed

Conditions

Inguinal Hernia Unilateral

Treatments

Other: Titanium tacker

Other: Polypropylene 0

Study type

Interventional

Funder types

Other

Identifiers

NCT05574751

DTH: 22002

Details and patient eligibility

About

Background: Mesh fixation is a critical step in laparoscopic Transabdominal Preperitoneal (TAPP) hernia repair because fixation is a significant step to prevent the hazard of mesh migration, but is supposed to be associated with a higher risk of acute and chronic pain compared with non-fixation. Fixation is more expensive than non-fixation.

Objective: To compare the efficiency of mesh fixation in laparoscopic TAPP surgical repair of inguinal hernia using sutured repair versus tacker use.

Patients and Methods: This prospective randomized comparative study was carried out on 60 patients who presented with a unilateral inguinal hernia and were assigned to laparoscopic TAPP hernia repair. Patients were randomly allocated into two equal groups (30 patients each); in group A, the mesh was fixed with a Titanium tacker, and in group B, the mesh was sutured and fixed with polypropylene 0.

Enrollment

60 patients

Sex

All

Ages

21+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Age ≥ 21 years
American Society of Anesthesiologists (ASA) physical status ≤ II
Patients with body mass index (BMI) of 25 to 35 kg/m²
Unilateral inguinal hernia

Exclusion criteria

Age < 21 years
ASA physical status > II
Patients with body mass index (BMI) > 35 kg/m²
Pregnant women
Bilateral inguinal hernia
Large inguinoscrotal hernia
Incarcerated hernia
Recurrent hernia
Strangulated hernia
Prostatic diseases
History of; Convulsions, Cerebrovascular accident, Previous neurological diseases
Dysrhythmia
Hypertension
Ischemic heart disease
Hyperthyroidism
Liver or Renal impairment
Alcohol or drug abuse