• Transabdominal Preperitoneal versus Intraperitoneal Onlay Mesh for Laparoscopic Inguinal Hernia Repair in males: A Comparative Study
    Hany Balamoun FRCS MD , Karim G. Moustafa MD , Ahmed Abd Al Aziz MD and Mahmoud A. Ameen MD
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    Ahmed Sayed1,2, Hussein Elwan1 , Walied Eldaly1 , Baker Ghonem1 , Morad Elkholy2 , Mohamed Ragab2 , Marwan Yousry1
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    Mohamed El-Maaddawy, Amr Abdulbaky, Usama Lotfi
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    Ayman M.A. Osman1 MD, MRCS (Eng), Ayman Salah Helmy1 MD, Hesham Abu Eisha1 MD, Wael L. Tobar1 MD, Abdel Kareem M. Abdel Kareem1 MB;BCh.
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    Amr Abdulbaky, Ahmed Elmahrouky, Hossam Anas, Hasan Soliman
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    Mahmoud Saber *, Wessam Wahdan**
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    Hany A. Balamoun MD, FRCS1 , Hany M S Mikhail MD, FRCS1 , Bahaa Meleka MD2
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    Ahmed Farghaly, Ahmed Marakby, Fouad Saad Eldin.
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    Dina Hany1,*, MD, Wafi Fouad2,*, MD, and Ramy Mikhael Nageeb1,*, MD
  • Autologous Blood Injection for Treatment of Recurrent TMJ Dislocation: Novel Technique
    Tarek Ftohy Abdelrahman1 , Ahmed Gaber Hassanein1 , Mohammed Hasan Osman 2
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  • Transabdominal Preperitoneal versus Intraperitoneal Onlay Mesh for Laparoscopic Inguinal Hernia Repair in males: A Comparative Study

    Hany Balamoun FRCS MD , Karim G. Moustafa MD , Ahmed Abd Al Aziz MD and Mahmoud A. Ameen MD
    Department of General Surgery, Faculty of Medicine, Cairo University, Egypt. National Research Centre, Ministry of Scientific Research, Egypt.ORCID ID (0000-0002-2386-0201)

    Background: Laparoscopic repair of inguinal hernias is usually achieved by transabdominal preperitoneal (TAPP) or intraperitoneal onlay mesh (IPOM) techniques with satisfactory results. Postoperative pain and infection are minimal with quick return to normal activities. Patients and methods: From January 2015 through September 2015, 30 laparoscopic inguinal hernia repairs were done. They were randomly categorized into two equal groups A & B: Group (A) subjected to TAPP repair and Group (B) to IPOM repair. They were followed up for 1, 3 and 6 months post-operatively. Postoperative pain was assessed by numeric pain rating scale; three times in the first week (days 1, 2 and 7) for both groups with significant difference at p <0.05. Results: All patients were males with inguinal hernia with mean age 37 years. The operative time for group A procedures was from 50 to 80 minutes (mean 67.93 min.) and for those of group B from 20 to 55 minutes (mean 35.5). The average hospital stay was one day for both groups. No conversions were required. Postoperative pain (using numeric pain rating scale) in the first and second days was assessed as mild or moderate as follows: group A 39.3%, 6.6%, group B 53.3%, 46.6% respectively. At the 7th day there was no pain in both groups. No mortality were reported. Conclusion: Laparoscopic Intraperitoneal Onlay mesh repair for inguinal hernia in males is faster and easier than techniques particularly in bilateral and recurrent cases. Key Words: IPOM; Laparoscopic hernia; TAPP. Abbreviations: Transabdominal preperitoneal (TAPP); Intraperitoneal onlay mesh (IPOM).