Journal of AdvancedMedical and Dental Sciences Research

Background: Inguinal hernias occur when a portion of the intestines or abdominal tissue protrudes through a weak point or tear in the abdominal wall in the groin area. The present study was conducted to compare fixation versus non-fixation of mesh in totally extraperitoneal repair of inguinal hernia. Materials & Methods: 78 patients of inguinal hernia of both genders were divided into 2 groups of 39 each. Group I was fixation and group II was non-fixation group II. Parameters such as operative times, ASA grade, type of hernia, side and complications was recorded. Results: Group I was fixation and group II was non-fixation group II. Group I had 29 males and 10 females and group II had 26 males and 13 females. The mean operative time was 41.3 minutes in group I and 37.4 minutes in group II. ASA grade I was seen in 30 in group I and 31 in group II and grade II in 9 in group I and 8 in group II> Type of hernia was primary in 32 in group I and 29 in group II and recurrent in 7 in group I and 10 in group II. Side was left seen in 20 and 18 in group I and II and right in 19 and 21 in group I and II respectively. Complications were injury to viscera in 2 and 4, injury to inferior epigastric vessels in 5 and 2 and injury to major vessels in 1 and 3 in group I and II respectively. The difference was significant (P< 0.05). Conclusion: Avoidance of fixation of mesh during totally extra peritoneal repair of inguinal hernias is as safe as mesh fixation.