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Corresponding Author

Hassan, Abdullah

Document Type

Original Article

Abstract

Background: Inguinal hernias are the most frequent type of hernia. Furthermore, inguinal hernia surgery is the most common operation in general surgery. Aim of the work: To evaluate the results of mesh fixation by fibrin glue versus staple in laparoscopic TAPP repair of inguinal hernia. Patients and Methods: a prospective randomized study included 40 adult patients of different age group presented with unilateral inguinal hernia who admitted and undergoing laparoscopic transabdominal preperitoneal inguinal hernia repair with mesh fixation divided into 2 equal groups group I involved 20 patients who underwent mesh fixation by fibrin glue, while group II involved 20 patients who underwent mesh fixation by staples. All patients were followed up at 1 month and 3-month intervals as outpatients. Results: This research included forty individuals ranging in age from 18 to 55 years. Considering intraoperative complication, there was one case in group II had intraoperative surgical emphysema and oozing of blood during dissection. There was no significant difference between both groups as regard to operative time and intraoperative complication. Regarding postoperative pain in group, I and II, there 2 (10%) and 9 (45%) patients presented with mild pain, respectively while 2 (10%) patients presented with severe pain in group II only with high significant difference between both groups (p=0.00). However, there was no significant difference between the two groups as regard to hospital stay. Conclusion: Mesh fixation using fibrin glue is preferable to staples because it generates less post surgery pain and requires less analgesia.

Keywords

Fibrin glue; Mesh fixation; Laparoscopic Transabdominal; Preperitoneal Repair; Inguinal hernia

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