COMPARATIVE ANALYSIS OF TACKER VS. SUTURE FIXATION IN LAPAROSCOPIC INGUINAL HERNIA REPAIR: OUTCOMES AND EFFECTIVENESS

This randomized clinical trial compared the efficacy of tacker versus suture fixation methods for mesh attachment in laparoscopic transabdominal preperitoneal (TAPP) hernia repair. Conducted on 20 patients, the study assessed pain levels, operative time, and complication rates associated with each technique. Findings revealed that suture fixation resulted in significantly lower pain scores at 6 and 24 hours postoperatively compared to tacker fixation (p<0.001). The average operative time was notably shorter for tacker fixation (100 minutes) compared to suture fixation (130 minutes). Complication rates, including hematoma, seroma, and scrotal edema, were similar between the two groups. These results suggest that while suture fixation may offer superior pain management, tacker fixation may be more time-efficient. Further research with larger samples and longer follow-up is needed to evaluate long-term outcomes and recurrence rates to comprehensively compare the two fixation techniques.