Laparoscopic transabdominal preperitoneal repair of bilateral inguinal hernia: Using single mesh versus one mesh for each defect

Document Type : Original Article

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Department of General Surgery, Faculty of Medicine, Benha University, Al-Qalyubiyah, Egypt

Abstract

Background: The use of laparoscopic transabdominal preperitoneal (TAPP) repair is increasingly becoming more
common as a treatment approach for bilateral inguinal hernias.
Aim: This study aimed to analyze the results of bilateral inguinal hernia laparoscopic TAPP repair utilizing a single mesh
against a single mesh for each defect.
Patients and Methods: Six months of follow-up were conducted on the 60 patients who underwent laparoscopic TAPP
repair for bilateral inguinal hernias and were admitted to the general surgery outpatient clinic at Benha University Hospital.
There were two equal groups of patients: Patients in group A had bilateral inguinal hernias repaired by laparoscopic TAPP
utilizing a single mesh. Patients in group B had laparoscopic TAPP repair of bilateral inguinal hernias, with a single mesh
used for each abnormality.
Results: Group B’s mesh insertion time was much longer (P=0.019). Tacking staples utilized for mesh fixing were
significantly less in group A (P<0.001). Group A exhibited consistently decreased postoperative pain levels on the 1st,
2nd, 3rd, 4th, and 5th days (P<0.05). Group A patients consumed much fewer analgesics (P<0.001), and they recovered to
normal activity more quickly (P<0.001). In group A, seroma development was much less common (P=0.026).
Conclusion: For bilateral inguinal hernias, utilizing a single big mesh in TAPP will make fixation simpler, need fewer
tacking stables, and lessen discomfort. For bilateral inguinal hernia, laparoscopic TAPP with a single big mesh is a secure,
efficient, and economical method.

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