Primary Inguinal Hernia Repair Using TAPP with External Fixation (Abdelhamid Technique) Versus Prolene Hernia System

Abdel‐Hamid, Mohamed S.; Nabil, Tamer Mohamed; Nafady, Hesham Ahmed; Ali, Amr Mohamed; Rashad, Ahmed; Emam, Seham Anwar; Abdelaziz, Ibrahim Said; El-Gaabary, Tamer M

doi:10.11648/j.ass.20170503.12

Cited by 2 publications

(5 citation statements)

References 11 publications

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“…LIHR goes beyond this scarred tissue. Stapling the mesh can be eliminated and help decrease the cost [14,15]. Abdelhamid technique may be considered an excellent choice as it offers both efficient fixation and lower cost.…”

Section: Discussionmentioning

confidence: 99%

“…Abdelhamid technique had combined the benefit of fixation with less postoperative. Complications with lower costs and lower recurrence rate [9,10,12,14]. As much as preperitoneal repair seems an easy option, insertion of a mesh in the space of Bogros is associated with severe dissection.…”

Section: Discussionmentioning

confidence: 99%

“…Avoiding routine fixation of the mesh helps to decrease complications and operative costs without increasing recurrence rates. [12,14].…”

Section: Discussionmentioning

confidence: 99%

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Modified Abdelhamid technique (modified TAPP with external fixation)

Abdelhamid¹

2020

GSC Adv. Res. Rev.

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Purpose Better fixation of the mesh with better application to the posterior inguinal wall. Background: Stapling of the mesh is costly, that is why in Abdelhamid technique we are fixing it to outside, reducing the cost and port sizes without jeopardizing the outcome .Our technique can adjust the tension applied to the mesh with better justification of the size of the mesh. Patients: The study was conducted at Beni _ Suef university hospitals, between April 2018 and April 2020. Included in the study were 30 patients with unilateral primary inguinal hernia. Methods: A prospective trial was conducted modifying Abdelhamid technique for laparoscopic. TAPP inguinal hernia repair in which we fixed the mesh to the anterior abdominal wall using two prolene threads that passed to the exterior and were tied in place but the mesh was applied under the cord. Results: The operative time ranged from 40 to 60 min and follow up was for 12–16 months, during which time there was no hernia recurrence, nor TAPP pain. The procedure showed better application of the mesh on the posterior inguinal wall with reduced port sizes and was also associated with reduced cost. Conclusion: Direct application of the mesh to the posterior inguinal wall is associated with better fixation with completely abolishing the disparity in the size between the mesh and the posterior abdominal wall.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Modified Abdelhamid technique (modified TAPP with external fixation)

Abdelhamid¹

2020

GSC Adv. Res. Rev.

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“…LIHR goes beyond this scarred tissue. Stapling the mesh can be eliminated and help decrease the cost [17,19].…”

Section: Discussionmentioning

confidence: 99%

“…The issue of nerve entrapment associated with the use of tuckers and staplers was also eliminated. Abdelhamid technique had combined the bene it of ixation with less postoperative complications with lower costs and lower recurrence rate [10][11][12][13]17].…”

Section: Discussionmentioning

confidence: 99%

Trans Abdominal Pre-Peritoneal (TAPP) mesh for Inguinal Hernia Repair with External Fixation [Abdelhamid Technique], Outcome Assessment

Abdel‐Hamid¹

2019

Arch Surg Clin Res

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Purpose: To compare the outcomes of Abdelhamid technique in treatment of inguinal hernia to conventional TAPP with mesh stapling, Prolene hernia system (PHS) and Lichtenstein repair. Background: the mesh is applied and fi xed externally aiding in decreasing port size and cost. There is controversy concerning the necessity of securing the mesh during laparoscopic TAPP repair. Patients: The study was carried out at the faculty of medicine-Beni Suef University, Egypt from September 2008 to April 2018. 672 patients with unilateral inguinal hernia participated in the study. 432 were treated using Abdelhamid Technique, 382 of which were unilateral primary inguinal hernia and 50 were unilateral recurrent. 50 patients were treated using Prolene Hernia System (PHS). 50 patients with recurrent hernias were treated using Lichtenstein repair and 140 patients went TAPP with mesh stapling. Results: Abdelhamid technique showed more cost effectiveness than stapling (1800$ vs 3000$) , pronounced less recurrence rate in comparison with Liechtenstein and PHS (2% vs 4%) , same LOS compared to other techniques and mean operative time of 76 minutes which is longer than stapling (60 mins), Liechtenstein (65 mins) and PHS (55 mins). Conclusion: Abdelhamid technique was a more lengthy operation costing more than open surgery but less than mesh stapling. The recurrence rate is considerably reduced with shorter recovery period. The technique is done with smaller port size that leads to cost reduction.

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Primary Inguinal Hernia Repair Using TAPP with External Fixation (Abdelhamid Technique) Versus Prolene Hernia System

Cited by 2 publications

References 11 publications

Modified Abdelhamid technique (modified TAPP with external fixation)

Modified Abdelhamid technique (modified TAPP with external fixation)

Trans Abdominal Pre-Peritoneal (TAPP) mesh for Inguinal Hernia Repair with External Fixation [Abdelhamid Technique], Outcome Assessment

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