Comparing the Clinical Outcome of Non Fixation of Mesh with Mesh Fixation in Laparoscopic Inguinal Hernioplasty (TEP): A Study and Review of Literature

Inguinal hernia is the oldest disease ever since known to mankind. Laparoscopic hernia repair is now a wellestablished way of treating inguinal hernias. Laparoscopically hernia can be repaired either by TAPP or TEP but later is preferred as it has advantages. But the role of fixation is still controversial. The proposed study was conducted in the Department of Surgery VMMC & Safdarjung hospital, New Delhi. Number of patients included were total of 60 with minimum 30 in each group. Duration of study was 18 months.We gained 14.11 minutes on an average by non-fixation of the mesh. Non fixation technique laparoscopic totally extra peritoneal inguinal hernioplasty is equivalent in terms of complications and early recurrence when compared with results with the fixation technique. There was significant reduction in operative time and post-operative pain and no difference found in hospital stay, recurrence and mesh migration.