• Subcutaneous Drain Versus Abdominal Binder with Percutaneous Aspiration in Repair of abdominal ventral hernia using polypropylene Mesh: A Comparative Study in 60 Egyptian Patients
    Ahmed Abd Al Aziz, MD1, Nader Sh. Zaki, MD2,Karim G. Moustafa, MD3, M. Fathy Elshaal
  • 3D Dynamic Ano-rectal Ultra-sonography (Echodefecography) vs. Conventional Defecography in Assessment of Obstructed Defecation.
    Abdrabou N Mashhour, Haitham S.E. Omar, Ramy S. Abdelkader.
  • 3D Dynamic Ano-rectal Ultra-sonography (Echodefecography) vs. Magnetic Resonance Defecography in Assessment of Obstructed Defecation
    Hany MS Mikhail, Mohamed M Raslan, Mohamed Y Elbarmelgi, Ramy S. Abdelkader
  • Outcome of anal Fistula Plug as a Sphincter-saving Technique in Management of Complex Ano-rectal Fistula
    Adel Morad Abdallah (M.D.)
  • Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair without Mesh Fixation
    Ahmed S.M. Omar, MD
  • Single HCC with Compensated Liver: Best Surgical Strategy
    H. Said1, Ahmed Khalil1, Ahmed Fathy Hilal2
  • Effect of Laparoscopic Sleeve Gastrectomy in Treatment of Type II Diabetes Mellitus
    Ragai S. Hanna1, George Abdelfady Nashed2, Gamal A Makhlouf 3, Nahed A Makhlouf 4, Manal El Sayed Abdelmooty 5
  • The Effectiveness of Combined Wound and Intraperitoneal Local Anesthesia as Pain Relief in Laparoscopic Cholecystectomy: Prospective Case Control Study
    Ragai S. Hanna1 , George Abdelfady Nashed2,Ashraf, A Helmy 3, Gamal A Makhlouf4, Emad Z.K. Said5, Abdelraouf MS Abdelraouf 6
  • Prospective Study Evaluating Intraoperative and Postoperative Parathyroid Hormone Assay versus Serum Calcium Monitoring to Predict Hypocalcemia after Total Thyroidectomy
    Ramy Mikhael Nageeb1, *, MD, and Shaban M. Abdel Mageed2, *, MD
  • Clipping versus Transection in Endoscopic Thoracic Sympathectomy (ETS) as Regards Postoperative Compensatory Sweating (CS)
    Shawki M.K Sharouda1*; Ramy Mikhael Nageeb2*; MD and Shaban M. Abdel Mageed1*, MD
  • Management of Umbilical Pilonidal Sinus: Complete Umbilical Excision and Immediate Reconstruction
    Sherif Abdel Halim MD, MRCS, Hanna Habib MD, Hossam Elsadek MD
  • Transanal Colonic Pull-through Procedure with Delayed Colo-anal Anastomosis in Complex Colorectal Conditions (Initial Experience)
    Ahmed Morad, MD; Wael A Jumuah, MD; Hanna Habib, MD
  • A Comparative Study between Oncoplastic Breast Surgery and Standard Conservative Surgery: Margin status and Patient Satisfaction among Egyptian Females
    Yasser El Ghamrini, MD. Karim Sabry Abdel Samee, MD, MRCS(Ed), Wael Abdel Aziem Gumuah, MD.
  • Outcome of Harmonic Scalpel Hemorrhoidectomy in Comparison with Bipolar Diathermy
    Anas Mashal MD; Abdallah Magdy MD,FRCS
  • The Effect of TAPP Technique for Hernia Repair with or without Mesh Fixation
    Anas Mashal MD, *Abdallah Abdelwahed MD;**Hady Saleh Abou-Ashour, MD,MRCS

    • The Effect of TAPP Technique for Hernia Repair with or without Mesh Fixation

    Anas Mashal MD, *Abdallah Abdelwahed MD;**Hady Saleh Abou-Ashour, MD,MRCS
    *Department of General Surgery Faculty of Medicine, Ain Shams University; **Department of General Surgery, Menoufia University

    Objective: the aim of this study is to compare the effect of TAPP hernia repair with or without mesh fixation as regard the post-operative pain, recurrence rate, and cost effectiveness over 15 months follow up duration. Methods: sixty patients with a unilateral or bilateral oblique inguinal hernia were included in this study, operated with the TAPP technique at dar alshifa hospital and prince medical Centre,UAE, in coordinate with ain shams university hospirtal,and menoufia university, from march 2014 to June 2015. 30 Patients were done with TAPP technique with mesh fixation, and 30 patients operated without mesh fixation. Follow up indices such as mean operative time, hospitalization expense, and postoperative pain were included. Results: No significant postoperative complications were observed during15 months followup in either group. The mean operative time, postoperative pain, and hospital expenses of the non-fixation group were markedly reduced compared to those of the fixation group, no recurrent cases were recorded in both groups over the time of follow up. Conclusions: TAPP technique for inguinal hernia repair without mesh fixation was safe and effective when compared to the mesh fixation group, shortened operative time, decreased hospital expenses, decreased postoperative pain, and improved quality of life, with no evidence of recurrence. Key words: TAPP,hernia,mesh. 

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