COMPARATIVE IMPACT OF MESH FIXATION VERSUS NON-FIXATION ON CHRONIC GROIN PAIN FOLLOWING LAPAROSCOPIC TRANSABDOMINAL PREPERITONEAL (TAPP) INGUINAL HERNIA REPAIR

Authors

  • Dr Salma Khatoon Postgraduate Trainee R4, Department of General Surgery, Jinnah Postgraduate Medical Center Karachi Author
  • Dr Zahid Mehmood Professor, Head of Department, Jinnah Postgraduate Medical Center Karachi Author
  • Dr Mariyah Anwer Associate Professor, Jinnah Postgraduate Medical Center Karachi Author
  • Dr. Tehzeeb Sialvi Resident Trainee R3, Jinnah Postgraduate Medical Center Karachi Author
  • Dr Asghar Ali Resident Trainee R4, Jinnah Postgraduate Medical Center Karachi Author

DOI:

https://doi.org/10.65035/06m9ky26

Keywords:

TAPP, inguinal hernia, mesh fixation, non-fixation, postoperative pain, chronic groin pain.

Abstract

Introduction: One common procedure is laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair. Fixation versus non-fixation mesh placement is still debatable, nevertheless, especially when it comes to the results of postoperative pain.

Objective: To compare the impact of mesh fixation versus non-fixation on acute and chronic groin pain following laparoscopic TAPP inguinal hernia repair.

Materials and Method: A prospective comparative study was conducted at Jinnah Postgraduate Medical Center Karachi, from January 2024 to June 2024. Patients were divided into two groups based on mesh fixation method. Postoperative pain was assessed using the Visual Analogue Scale (VAS) at 8, 16, and 24 hours, day 7, and at 3 months follow-up, in-person or telephonically.

Results: Patients in the non-fixation group showed significantly lower VAS scores at all intervals. Chronic groin pain at 3 months was notably reduced in this group, with no hernia recurrence in either cohort.

Conclusion: Non-fixation of mesh offers superior outcomes in terms of pain reduction without compromising surgical success.

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Published

2025-06-15

Issue

Vol. 2 No. 2 (2025): Journal of Medical & Health Sciences Review

Section

Articles

License

Copyright (c) 2025 Dr Salma Khatoon, Dr Zahid Mehmood, Dr Mariyah Anwer, Dr. Tehzeeb Sialvi, Dr Asghar Ali (Author)

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

All articles published in the Journal of Medical & Health Sciences Review (JMHSR) remain the copyright of their respective authors. JMHSR publishes its content under the Creative Commons Attribution‑NonCommercial 4.0 International License (CC BY‑NC 4.0), which allows readers to freely share, copy, adapt, and build upon the work for non‑commercial purposes, provided proper credit is given to both the authors and the journal. 

How to Cite

COMPARATIVE IMPACT OF MESH FIXATION VERSUS NON-FIXATION ON CHRONIC GROIN PAIN FOLLOWING LAPAROSCOPIC TRANSABDOMINAL PREPERITONEAL (TAPP) INGUINAL HERNIA REPAIR. (2025). Journal of Medical & Health Sciences Review, 2(2). https://doi.org/10.65035/06m9ky26