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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Comparative Study on Intracorporeal Suturing Versus Tackers for Peritoneal Closure in Laparoscopic Transabdominal Preperitoneal (TAPP) Inguinal Hernia Repair

Srinath Mahesh Desai, S.B. Rajashekhar and A. Pramod Reddy
Page: 286-288 | Received 31 Dec 2024, Published online: 27 Jan 2025

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https://doi.org/10.36478/10.36478/makrjms.2025.2.286.288

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Abstract

Inguinal hernia repair is among the most frequently performed surgeries worldwide. The primary goals of this procedure are to minimize recurrence, provide early postoperative pain relief, promote a swift return to normal activities and ensure cost‐effectiveness. This study aimed to compare the outcomes of two peritoneal closure techniques‐intracorporeal suturing using Vicryl 2.0 and tackers‐during laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair. A prospective comparative study was conducted with 60 patients divided into two groups. Group A (30 patients) underwent peritoneal closure using intracorporeal suturing with Vicryl 2.0, while Group B (30 patients) underwent peritoneal closure using tackers. Postoperative pain, operative time, return to normal activities and over a 6‐month follow‐up. The mean operative time was significantly shorter in the Tacker Group (1 hour 5 minutes) compared to the Suturing Group (1 hour 21 minutes). Postoperative pain was higher in the Tacker Group at all intervals. Time to return to normal activities was faster in the Tacker Group (7 days) compared to the Suturing Group (10 days). However, chronic pain was more prevalent in the Tacker Group (10%) than in the Suturing Group (3%). No hernia recurrence was observed in either group at the 6‐month follow‐up. While tacker‐based peritoneal closure was faster and resulted in a quicker return to daily activities, intracorporeal suturing with Vicryl 2.0 was associated with lower postoperative pain and fewer incidences of chronic pain. Both techniques were effective in preventing hernia recurrence.

How to cite this article:

Srinath Mahesh Desai, S.B. Rajashekhar and A. Pramod Reddy. Comparative Study on Intracorporeal Suturing Versus Tackers for Peritoneal Closure in Laparoscopic Transabdominal Preperitoneal (TAPP) Inguinal Hernia Repair.
DOI: https://doi.org/10.36478/10.36478/makrjms.2025.2.286.288
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2025.2.286.288