الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Laparoscopic hernia repair is more difficult technically than open surgery and there is evidence of learning curve in its performance and many complications which reported from laparoscopic procedure is due to learning curve lead to operative complications.
But also, laparoscopic approach has its benefits as rapid recovery, quicker return to work, less acute pain complication, better quality of life outcomes.
Many techniques were used for fixation of mesh and theories proved that there is no significant difference between each technique, and surgical options for mesh fixation include, but are not limited to, sutures, tacks or staples, self-fixing meshes and fibrin, or other glues.
The aim of our study is to compare the outcome results of the fixation of mesh by intracorporeal sutures and by tackers in TAPP hernia repair.
In our study, 40 patients were included divided on two groups, 20 for each. group A; fixation mesh with tackers, group B; fixation mesh with intracorporeal sutures.
Both groups were compared in terms of operative technique, operative time, mesh device fixation cost, intra & post operative complications, early post operative pain within two weeks and in first month, hospital stay, restriction of physical activity and incidence of recurrence and chronic pain.
Interpretation of results revealed that no significant difference between two groups except in Intraoperative time and mesh device fixation cost with favour for group A.
Based on our prospective randomized study, a few preliminary conclusions can be made.
We found that using Intracorporeal sutures for fixation mesh is available, cheaper and more handle than using the Tackers which are expensive and less available so it makes a laparoscopic hernia more practical and decrease need for open surgery so we avoid the complication of open surgery.
Both techniques are considered safe and effective with similar rates of recurrence and chronic pain although further wider scale studies are recommended.