Fixation Verses Non-Fixation of Mesh in Transabdominal Preperitoneal Mesh Hernia Repair

Abstract Background: Transabdominal Preperitoneal mesh hernia repair is one of the most popular laparoscopic surgery performed in inguinal hernias. Now a days mesh was fixed using tackers, that causes more Operative time postoperative pain, hospital stay and chronic groin pain The main aim of our study is whether fixation of mesh can be avoided in TAPP. Objectives: The aims and objectives of the study is to analyze the comparison between mesh fixation verses non mesh fixation in TAPP. In terms of- Operative time, Postoperative pain, length of hospital stay, chronic groin pain and recurrence. Methods: The study includes 60 patients of hernia admitted in general surgery between January 2021 to July 2022 in UPUMS, Saifai Etawah. All patients were fulfilling the inclusion criteria and randomized in two groups. Follow up had done at 1week,1month,3months and 6months. Result: Out of 60 patients 30 patients underwent fixation of mesh and 30 patients without mesh fixation. In fixation group mean operative time was 53 minutes. In the non-fixation group mean operative time was 48 minutes. In Mesh fixation group mean hospital stay was 1.634 days and in non-fixation group mean hospital stay was 1.267 days. Conclusion: With the results of our study, we conclude that the patients did better in non- fixation group in terms of postoperative and chronic groin pain. Operative time & hospital stay was also less in non- fixation group. Although, there was no significant difference in testicular pain, swelling and testicular atrophy, recurrence, mesh infection. So mesh fixation can be avoided in TAPP.