Hany Balamoun FRCS MD , Karim G. Moustafa MD , Ahmed Abd Al Aziz MD and Mahmoud A. Ameen MD
Hany M.S. Mikhail MD, Abdrabou N. Mashhour MD
Ahmed Sayed1,2, Hussein Elwan1 , Walied Eldaly1 , Baker Ghonem1 , Morad Elkholy2 , Mohamed Ragab2 , Marwan Yousry1
Mohamed El-Maaddawy, Amr Abdulbaky, Usama Lotfi
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.
Amr Abdulbaky, Ahmed Elmahrouky, Hossam Anas, Hasan Soliman
Mahmoud Saber *, Wessam Wahdan**
Hany A. Balamoun MD, FRCS1 , Hany M S Mikhail MD, FRCS1 , Bahaa Meleka MD2
Ahmed Farghaly, Ahmed Marakby, Fouad Saad Eldin.
Dina Hany1,*, MD, Wafi Fouad2,*, MD, and Ramy Mikhael Nageeb1,*, MD
Tarek Ftohy Abdelrahman1 , Ahmed Gaber Hassanein1 , Mohammed Hasan Osman 2
Rasha Abdelkader, Sameh Nomani
Ahmed Nabil 1 and Rasha Abdelkader2
Fady Magdy Yacoub, MD, Khaled Sadek, MD, MRCS
Transabdominal Preperitoneal versus Intraperitoneal Onlay Mesh for Laparoscopic Inguinal Hernia Repair in males: A Comparative Study
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).