Closure of peritoneal in inguinal hernia transabdominal preperitoneal by intracorporeal suturing versus tackers
Keywords:Inguinal hernia, Laparoscopic hernia repair, Mesh, Suture, Tacker, TAPP
Background: Hernia surgeries are among the most frequently carried out surgical procedures. Minimal recurrence rates, great patient comfort, rapid return to work, and low cost should all be characteristics of the optimal hernia treatment method. Objective of this study was to investigate whether tacker and suture materials used for peritoneal closure after mesh placement in the laparoscopic TAPP inguinal hernia repair technique.
Methods: Present study is a retrospective, observational & comparative study conducted in Department of General Surgery in a tertiary care hospital from January 2021 to December 2021. Institutional ethical committee clearance was obtained. Patient identity was kept confidential. According to the type of peritoneal closure, patients were separated into two groups: group S (which underwent closure with sutures) and group T (which received closure with tackers) 48 and 52 during the study period. SPSS was used for analysis.
Results: The study was male preponderance comprising 94% of study participants, while the most common age group was found to be 61-70 years in both groups S and T (32%). most patients in the suture fixation group (39%) had left-sided hernias, but right-sided hernias (40%) were more typical in the tacker fixation group.
Conclusions: Our research revealed no differences between the two peritoneal closure approaches in terms of VAS score at day 30, hernia recurrence rate, hospital stay, or complication rate. VAS score on day 1 and cost of operation were in favor of the suture group.
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