Outcomes of TAPP repair without fixation of mesh in tertiary care public hospitals

Abstract

Background: Traditionally, fixation of mesh is the standard procedure in Transabdominal preperitoneal (TAPP) repair and is usually done with staples, clips or sutures. This may result in post hernioplasty pain syndrome. Placing the mesh in the proper place without fixation and covering it properly with peritoneum may be adequate and reduces post hernioplasty pain syndrome as well as the cost of the procedure. Objective: To demonstrate the efficacy of TAPP repair with standard polypropylene mesh (15/12 cm) without any fixation with no increase in recurrence rate. Methods: The study includes patients, who underwent TAPP repair at the department of General Surgery at R .G. Kar Medical College from November 2011 to February 2016 and Murshidabad Medical College from March 2016 to July 2018. Data was prospectively entered and analysed. Results: There were 58 patients of TAPP repair with a mean follow up of 26.52 months. No recurrence has been reported till date. Conclusion: TAPP repair without mesh fixation if done with proper technique, is not associated with any increase in recurrence rate.