الفهرس Only 14 pages are availabe for public view
 |  | from | 97 |  |  |
| | | from | 97 | | |
Abstract
Inguinal hernia repair is one of the oldest and most common operations in the history of medicine. Recent studies from the national center for health statistics show that approximately 750,000 groin herniorraphies are completed annually in the United States. More than 80% of these operations involve the use of mesh prosthesis and are performed on an outpatient basis (Rutkow, 1998). Laparoscopic inguinal hernia repair have been proved to be safe and effective, with less postoperative pain and less use of analgesics and faster return to normal function status (Vel, 2010). Laparoscopic repair of inguinal hernia follows some principles that have already proven its efficacy (Cohen et al.,1999).. Fixation of the mesh when the trans-peritoneal technique is employed.it developed a preperitoneal pocket to approximate the size of the patch and simply place the patch in the pocket, the peritoneum is closed over the prosthesis, their results suggest that this method is sufficient although follow up is limited (Schultz et al., 1990). There are reports of tacker related complications of adhesions, pain, intestinal obstruction and perforation of the bowel or urinary bladder (Ladurner et al., 2012). Different complications, such as neuralgia or meralgia-paresthetica by nerve entrapment or osteitis, can be avoided by not fixing the prosthesis Controversy exits regarding whether it is necessary to secure the mesh prosthesis during laparoscopic TAPP inguinal hernia repair. It is unknown whether stapling the mesh affects recurrence rate or the incidence of neuralgia in a port-site hernia.(Abdelhamid., 2011). the effect of non-fixation of mesh during TAPP on the recurrence rate and chronic pain needs to be further investigated.