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Comparison of mesh fixation and non-fixation in transabdominal preperitoneal (TAPP) inguinal hernia repair: a randomized control trial
by
Kamran, Hooman
, Karoobi, Mohammadreza
, Meshkati Yazd, Seyed Mostafa
, Kiany, Fakhroddin
, Shahriarirad, Reza
, Mehri, Ghasem
in
Chronic illnesses
/ Endoscopy
/ Ethics
/ General anesthesia
/ Hernias
/ Laparoscopy
/ Methods
/ Pain
/ Patients
/ Postoperative period
/ Surgeons
/ Surgery
/ Surgical mesh
/ Surgical techniques
2023
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Comparison of mesh fixation and non-fixation in transabdominal preperitoneal (TAPP) inguinal hernia repair: a randomized control trial
by
Kamran, Hooman
, Karoobi, Mohammadreza
, Meshkati Yazd, Seyed Mostafa
, Kiany, Fakhroddin
, Shahriarirad, Reza
, Mehri, Ghasem
in
Chronic illnesses
/ Endoscopy
/ Ethics
/ General anesthesia
/ Hernias
/ Laparoscopy
/ Methods
/ Pain
/ Patients
/ Postoperative period
/ Surgeons
/ Surgery
/ Surgical mesh
/ Surgical techniques
2023
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Comparison of mesh fixation and non-fixation in transabdominal preperitoneal (TAPP) inguinal hernia repair: a randomized control trial
by
Kamran, Hooman
, Karoobi, Mohammadreza
, Meshkati Yazd, Seyed Mostafa
, Kiany, Fakhroddin
, Shahriarirad, Reza
, Mehri, Ghasem
in
Chronic illnesses
/ Endoscopy
/ Ethics
/ General anesthesia
/ Hernias
/ Laparoscopy
/ Methods
/ Pain
/ Patients
/ Postoperative period
/ Surgeons
/ Surgery
/ Surgical mesh
/ Surgical techniques
2023
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Comparison of mesh fixation and non-fixation in transabdominal preperitoneal (TAPP) inguinal hernia repair: a randomized control trial
Journal Article
Comparison of mesh fixation and non-fixation in transabdominal preperitoneal (TAPP) inguinal hernia repair: a randomized control trial
2023
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Overview
IntroductionMesh fixation in inguinal hernia repair, has been a controversial subject for many years. Therefore, in this study, we evaluated and compared fixation and non-fixation of mesh in Transabdominal Preperitoneal (TAPP) Inguinal hernia repair.MethodsIn this randomized control trial, 100 patients diagnosed with unilateral inguinal hernia were included. We divided the study population into two groups of fifty. For both groups, a 15 × 13 cm Prolene(polypropylene) mesh was used for repair. In the fixation group, mesh was fixed to the abdominal wall by endoscopic tacks, while in the non-fixation group, mesh was secured at the proper place without any fixation. Postoperative outcomes were complications, recurrence, and pain intensity after 1-, 3- and 6-months.ResultsPostoperative pain intensity in the 1st month [Median of 2 and 0, (P < 0.001)], and 3rd month [Median of 0.5 and 0, (P < 0.001)], in the fixation group were significantly higher than the non-fixation group. However, 6 months after surgery, pain intensity was almost similar for both groups. In the 6th postoperative month, only one patient experienced recurrence who was in the fixation group. The rate of recurrence and urinary retention between the groups was not significant.ConclusionIt was observed that until 6 months after surgery patients who received the non-fixating method of TAPP repair experienced lower levels of pain in comparison to the fixation group while other complications did not differ between the two groups.This trail was registered at www.irct.ir with Trial Registration Number of IRCT20210224050491N1.
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