Comparative Study of Mesh Fixation versus Non Fixation in Laparoscopic Inguinal Hernia Repair (TEP/TAPP)

Background: Term hernia is derived from the Latin word sacci hernialis, which means to rupture. Hernia is an abnormal protrusion of an organ or tissue through a defect in its surrounding walls. An Inguinal hernia repair can be done by either open or laparoscopic method with or without the use of mesh. Objective: To study the outcomes of different modes of mesh fixation and need for fixation in laparoscopic inguinal hernia repair. MATERIAL& METHOD: Study was conducted from june 2018 to September 2020 in the department of general surgery of SN Medical College, Agra. All adult patients with primary uncomplicated inguinal hernia were included in the study after taking prior informed consent. Total number of patients included were 60. Patients were divided randomly into two groups: Group A patients underwent TAPP out of which mesh was fixed in 20 patients, group B patients ubderwent TEP procedure. CONCLUSION: No significant difference in outcome was noted with mesh fixation against non fixation of mesh in laparoscopic approach of inguinal hernia repair.