الفهرس 
Definition and Pathophysiology of Inguinal HerniaOnly 14 pages are availabe for public view
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Abstract
Background: Over 1 million abdominal wall hernia repairs are performed each year in the United States, with inguinal hernia repairs constituting nearly 770,000 of these cases; approximately 90% of all inguinal hernia repairs are performed on males.
Aim of the Work: This is a prospective study prepared to compare the outcome of the two methods of fixation whether by tackers or transfacial sutures regarding their efficacy, postoperative complications and their cost technique through a prospective study to improve the outcome of patients undergoing surgery for inguinal hernia in Ain shams university hospitals.
Patients and Methods: Patient selection and preoperative preparation: Our study is a randomized controlled prospective study. It was conducted on 40 patients with the diagnosis of Inguinal Hernia. These patients were admitted from those attending surgical outpatient clinics of Ain Shams University Hospitals during the period from An informed consent was taken from all patients who accepted to participate in our study.
Results: This study was conducted on 40 adult patients presenting with inguinal hernias. They were divided into 2 equal groups of 30 patients each. The first group (A): includes twenty patients and was operated upon by a Laparoscopic transabdominal pre-peritoneal inguinal hernioplasty technique with fixation of the mesh by Tackers. While the second group (B): includes twenty patients and were operated upon by a Laparoscopic transabdominal pre-peritoneal inguinal hernioplasty technique with fixation of the mesh using transfascial sutures.
Conclusion, Transfascial fixation of mesh in TAPP repair is an easy and not time consuming technique, The procedure reduces the cost of lap hernia surgery drastically by avoiding use of tacker making the procedure cost effective like open hernia surgery and offering all benefits of laparoscopic surgery to the patients, It is better than Tacker fixation as it is associated with less postoperative pain, shorter hospital stay, faster return to full activity , lower rate of reccurence and is more economic.