Outcomes and Postoperative Complications Following TAPP Repair for Inguinal Hernia with mesh fixation vs non fixation

Document Type : Original Article

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Department of General Surgery, Faculty of Medicine, Aswan University

Abstract

Background: Laparoscopic transabdominal preperitoneal (TAPP) repair is a common technique for inguinal hernia repair, with debate over the necessity of mesh fixation.
Aim: This study aimed to compare efficacy and safety between patients undergoing TAPP (Transabdominal Preperitoneal) hernia repair with mesh fixation and those with non-fixation.
Methods: This prospective comparative study was conducted on 50 patients undergoing TAPP repair for non-complicated, unilateral inguinal hernias (25 with mesh fixation, 25 without). Preoperative assessment included history, examination, routine laboratory tests and radiological studies
Results: Baseline demographics, comorbidities, and hernia laterality were similar between groups (p>0.05). The fixation group had significantly longer operative time (74.12±0.76VS70.85±0.61min, <0.001), hospital stay((1.97±0.72VS1.37±0.54 days, =0.028), and return to work 9.12±2.17 VS7.2±2.14 days. =0.036). Postoperative pain was significantly higher in the fixation group prior to discharge and at 1 and 2 weeks (<005), with no difference at 1 day, 1 month, or 6months. Complication rates, including seroma, wound infection, and urinary retention, showed no significant differences.
Conclusion: TAPP repair with mesh without fixation resulted in shorter surgery time, quicker recovery and less early postoperative pain, without increasing complications or compromising effectiveness. Non-fixation appears to be a safe, patient-friendly alternative in suitable cases.

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Aswan University Medical Journal
Volume 5, Issue 4
December 2025
Pages 1-11

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