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| Comparison of Mesh Fixation Versus Non-Fixation in Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair |
| ZHU Zhentang |
| Department of General Surgery, Xinye County Health Vocational Secondary School Affiliated Hospital, Nanyang Henan 473000 |
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Abstract 【Objective】 To compare the clinical outcomes of mesh fixation versus non-fixation in laparoscopic transabdominal preperitoneal(TAPP) inguinal hernia repair.【Methods】 A total of 88 patients with inguinal hernia treated at Xinye County Health Vocational Secondary School Affiliated Hospital from January 2021 to October 2024 were included in this study. All patients underwent laparoscopic TAPP inguinal hernia repair and were randomly assigned into two groups using a random number table:the observation group(non-fixation of mesh, n=44) and the control group(mesh fixation, n=44). The two groups were compared in terms of mesh placement time, peritoneal suturing time, blood loss, operative time, length of hospital stays, Visual Analog Scale(VAS) scores, and the incidence of postoperative complications.【Results】 The bleeding volume of the observation group was lower than that of the control group, and the operation time and hospitalization time were shorter than those of the control group, with statistical significance(P<0.05); There was no statistically significant difference(P>0.05) in the placement time and peritoneal suturing time between the two networks. The VAS scores of the observation group were lower than those of the control group on the 2nd day, 1st month, and 3rd month after surgery, and the difference was statistically significant(P<0.05). The total incidence of complications within 3 months after surgery in the observation group and control group was 22.73%(10/44) and 18.18%(8/44), respectively. There was no statistically significant difference in the incidence of postoperative complications between the two groups(χ2=0.279,P>0.05).【Conclusion】 Non fixed mesh laparoscopic TAPP treatment for inguinal hernia has a good effect, which can effectively shorten the operation time and hospitalization time, as well as reduce postoperative pain. It has high safety and is worthy of clinical reference.
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Received: 26 March 2025
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2025, Vol. 42 
