الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Inguinal hernia is considered the most common type of spontaneous hernias, also inguinal hernia repair is one of the commonest elective surgical procedures done by general surgeons all over the world. Laparoscopic hernioplasty of inguinal hernia is a good alternative to traditional open repairs even in simple unilateral primary inguinal hernia in terms of decrease post operative pain and complications with comparable recurrence rates. Aim of this study: The aim of this study was to compare fixation of conventional polyprolene mesh versus non fixation of 3D max mesh (anatomically oriented mesh) in laparoscopic transabdominal properitoneal (TAPP) inguinal hernia repair as regard operative and postoperative data. Method: This an exploratory study of 60 patients with inguinal hernia underwent elective laparoscopic inguinal hernia repair who were divided randomly into two groups , group 1 included patients with fixation of conventional polyprolene mesh and group 2 included patients without fixation of 3D max mesh. Results: In our present study, non fixation of 3D max mesh (anatomically oriented mesh) had a significant advantages over fixation of conventional polyprolene mesh for significantly reduced mesh spreading time, immediate postoperative pain and chronic groin pain , which resulted in a better patient satisfaction and earlier resuming regular daily activity and hence better social and economic impact .The other intraoperative complications, postoperative complications, and recurrence rates there were no significant differences between both techniques. Conclusion: Non fixation the 3D mesh (anatomically oriented mesh) is better than fixation of the traditional polypropylene mesh in terms of postoperative pain, chronic thigh pain, and mesh spreading time. Recommendations: Further research is needed to evaluate the postoperative pain after Laparoscopic Transabdominal Properitoneal (TAPP) Inguinal Hernia Repair without fixation of 3D max mesh. KEY WORDS: Inguinal hernia, laparoscopic inguinal hernia treatm repair, types of laparoscopic inguinal hernia repair, complications of laparoscopic inguinal hernia treatment, fixation of the traditional polypropylene mesh, non fixation of the 3D max mesh.