Abstract: Introduction: A hernia is the protrusion of a viscus or part of a viscus lined by a sac through a normal or abnormal opening in the abdominal wall. Hernias are classified into 2 types based on their visibility, i.e., External hernias and internal hernias. Aim of this study is to Compare mesh fixation versus non-fixation in TAPP (Trans Abdominal Pre Peritoneal Meshplasty) in inguinal hernia.
Methodology: Hospital based non randomized prospective case control study. The study was carried out for One year and six months from January 2019 to June 2020. The present study evaluated 40 patients, who admitted with inguinal hernia and undergone TAPP in the Department of General Surgery, RVM Hospital, Siddipet district, Telangana State.
Results: Total number of patients observed in the study was 40. Among this 40, 20 patients underwent mesh fixation LIHR and 20 patients underwent non-fixation LIHR. Using Fisher exact test, p value<0.05 (0.00196), there is significant association between non-fixation type of repair and limited operative time, significant association between non-fixation type of repair and lesser duration of hospital stay and early resumption to daily activities is also observed.
Conclusion: The risk of hernia recurrence does not increase with non-mesh fixation in TAPP laparoscopic inguinal hernia repair. In addition, a significantly shorter operation time, decreased length of hospital stay and early return to normal activity than TAPP mesh fixation LIHR.
