الفهرس 
A comparative study regarding post-operative bulge (seroma-hematoma) post laparoscopic trans abdominal pre-peritoneal(TAPP) hernia repair with & without pre-peritoneal drain
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Abstract
Background: Groin hernias account for 75 percent of all abdominal wall hernias. Of all groin hernias, 95% are hernias of the inguinal canal, Inguinal hernia repair is integral to the history and current status of general surgery as it’s account for up to 10-15 % of general surgical, With the increasing use of prosthetic materials for the repair of inguinal hernia seroma has become a frequently reported complication, The diagnosis of seroma can be achieved on clinical finding of palpable fluid collection, Also ultrasound examination provide reliable tool for diagnosis early& delayed post operative seroma formation. Methods: a comparative study was conducted on twenty patients presented to the outpatient clinic, diagnosed as having inguinal hernias from March 2017 to September 2017,divided into two groups using closed envelopes method, Under general anaesthesia 10 cases underwent laparoscopic TAPP repair using (polypropylene mesh) fixed by secure strap® with insertion of pre-peritoneal inside the canal 16Fr. suction Drain reaching to the bottom of the space created by dissection of the hernia sac, also allow pre-peritoneal cavity suction technique,3 to con{uFB01}rm mesh position during TAPP, drain to be left at least for 48 hours or when discharge below (25-30 mm /24h )and 10 cases of TAPP using same techniques& mesh fixation method without A drain