• 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
  • Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair without Mesh Fixation

    Ahmed S.M. Omar, MD
    Department of General Surgery, Ain Shams University, Cairo, Egypt

    Background: Mesh fixation had been reported as a possible cause for persistent groin pain manifested by a significant number of patients following laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair. It is also associated with increased operative cost. Nonfixation could be done especially for patients with small defects, thus reducing the cost, postoperative and chronic pain. Patients and methods: This study was conducted between May 2014 and January 2016. The study included 40 patients with inguinal hernia operated with laparoscopic TAPP technique without mesh fixation. Patients with huge inguinoscrotal hernia with large defect were treated with mesh fixation and were excluded from the study. They were followed up for at least 1 year post-operative for early and late complications. Results: No intra-operative complications have been registered. Two patients (5%) with direct hernias developed seroma, and one patient (2.5%) had subcutaneous emphysema. No chronic pain or hernia recurrence was observed within the follow up period. Conclusion: For selected patients, the nonfixation of mesh in TAPP seems a safe alternative that is associated with fewer costs, shorter operative time and decreased incidence of chronic pain without increased risk of recurrence. Key words: laparoscopic hernia repair, transabdominal preperitoneal, without mesh fixation.