Evaluation of Outcome of Laparoscopic Transabdominal Pre Peritoneal Repair of Inguinal Hernia with Special Reference to Comparison of Result between Fixation and Non Fixation of Mesh

Aim: This randomized prospective comparative study was done to evaluate and compare fixation with non-fixation of mesh in Trans abdominal pre peritoneal (TAPP) inguinal hernia repair in terms of postoperative complication, recurrence, pain (VAS) regarding the procedure and necessity regarding fixation of mesh.Methods: 60 patients with inguinal hernia were selected in which 30 patients were allotted to the group A for fixation of mesh and 30 patients to group B for non-fixation of the mesh during their hernia repairs by laparoscopic TAPP.Results: In fixation mean age was 42.36 and in non-fixation 42.44.The operative time for fixation was 95.83 min and for non-fixation 56.83 min (p=.000).Using Visual analog scale, pain among fixation and non-fixation at 12, 24, 72 hrs, 1 and 6 months was statistically significant (p<0.05).Average Hospital stay for fixation was 3.63 days and for non-fixation was 2.93 days (p=.000).Intra operative complication for fixation was 3.33% and for non-fixation was 0%, p=0.313.Postoperative complication for fixation was 10% and non-fixation was6.6%,p=0.640.Conclusion: Stapling mesh in TAPP offers no advantage over non-fixation of mesh and non-fixation of mesh in TAPP appears to be a safer alternative with less pain, shorter operative time and shorter hospital stay.