Description

ABSTRACT

Peritoneal closure is one of the essential steps in TAPP hernia repair. The different closing procedures have various strengths and weaknesses. Commonly used closing devices are the Hernia Stapler, Absorbable Tacker, Spiral Tacker, Extracorporeally knotted running suture and Clip guarded running suture. In present study we compared techniques of peritoneal closure with sutures or tackers following TAPP inguinal hernia repair at our tertiary hospital. Present study is a retrospective, observational & comparative study conducted in patients who underwent primary laparoscopic surgery for all type of inguinal hernia (TAPP). Mean duration required for peritoneal closure & Mean duration required for surgery was significantly less in peritoneal closure by tacker group as compared to suture group. Post-operative pain by VAS score on day 1 & day 7, was significantly less in suture fixation group as compared to tacker fixation group & difference was statistically significant. While on day 30 similar VAS scores were noted in both groups. In both groups, hospital stay was comparable, recurrence was noted in one patient while seroma was noted in two patients. No serious morbidity or any mortality was noted in study patients during study period. Suture group had advantages in VAS score on day 1,7 & cost of surgery. Thus, peritoneal closure with suture should be preferred over tackers for closure of the peritoneum in laparoscopic inguinal hernia repair surgery.

Keywords: Laparoscopic Hernia repair, Tacker, Mesh, Suture