الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Background: Inguinal hernia is considered the most common type of hernia. Inguinal hernia repair is the one of the most common surgical procedures done worldwide every year. With advance of the knowledge, laparoscopic repair of inguinal hernia became very popular, accounting approximately 15-20 % of hernia operations with good outcome.
Objectives: In this study we have tried to determine if there is significant difference between using conventional polypropylene mesh and double face mesh (Polypropylene + Vicryl) in TEP.
Patients and Methods: This study was conducted on 20 patients with inguinal hernia divided into two groups. group A represented patients who underwent TEP repair of inguinal hernia using polypropylene mesh and group B represented patients who underwent TEP repair of inguinal hernia with double face mesh.
Results: Regarding operative time, it was equal in both groups except much longer in case of peritoneal tear in group. There was no intraoperative complications encountered in both groups as bleeding, visceral injuries or conversion to TAPP or open technique but peritoneal tear occur. Regarding postoperative period, there was no difference in the postoperative parameters between both groups including pain, hospital stay and recurrence. The cost in the double face mesh group is significantly higher than polypropylene mesh group.
Conclusion: Totally extraperitoneal approach (TEP) is an acceptable procedure for inguinal hernia repair with less visceral and vascular injuries. No difference in outcome between in TEP repair of inguinal hernia either using polypropylene or double face mesh. Randomized studies on larger number of patients is needed to confirm the results.