الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Inguinal hernias are one of the most common surgeries performed by a general surgeon.
Repair of an inguinal hernia via surgery is the only treatment for inguinal hernias and can prevent incarceration and strangulation. Health care providers recommend surgery for most people with inguinal hernias and especially for people with hernias that cause symptoms. Research suggests that men with hernias that cause few or no symptoms may be able to safely delay surgery until their symptoms increase. Men who delay surgery should watch for symptoms and see a health care provider regularly. Health care providers usually recommend surgery for infants and children to prevent incarceration.
Laparoscopic repair has become the standard for bilateral inguinal hernia repair, recurrent hernia (post-anterior approach), and unilateral uncomplicated inguinal hernia in women. Some studies have concluded less pain and recurrence in laparoscopic repair (by an experienced surgeon) than in open repair.
However, all cases in the current study underwent laparoscopic Trans-abdominal Preperitoneal repair technique so, this study was conducted and aimed to assess the laparoscopic hernia repair in bubonocele in terms of costs, risks, ease of technique, benefits and postoperative outcome including recovery time and post-operative complications.
This prospective cohort study was conducted and Nasr city Health Insurance from June 2022 till September 2022 and performed on a total of 20 patients who had inguinal hernia and candidate for laparoscopic hernia repair.
The current study revealed that all cases were males. 35% of cases were obese and 60% of cases aged between 40.0−49.0 years. 20% of cases had bilateral inguinal hernia.
As regards operative characteristics, our study results showed that the operative time ranged between 50 - 80 minutes in 75% of cases. There were no significant intraoperative complications. Mild Bleeding was recorded only in one case (5.0%) and was easily managed intra-operatively, operating surgeons reported satisfaction and operation ease in 55% of cases.
As regards postoperative characteristics, our study results revealed that almost all cases (100.0%) had stayed in the hospital one day only, majority of cases (85.0%) had resumed their daily activity and work within two to four days after the discharge date with no significant postoperative complications. mild seroma was reported in 1 case only (5.0%), mild port site wound infection in one case only (5.0%), pain was reported in one case only (5.0%) and all these complications were managed conservatively and completely resolved during the follow up period.
Ultimately, laparoscopic trans-abdominal preperitoneal repair showed good cosmetic outcome with good patient satisfaction in 80% of cases with no short-term recurrence.
We concluded that Trans Abdominal Pre-Peritoneal (TAPP) repair of inguinal hernia was a safe, effective, feasible and successful with the advantages of less hospital stay and less operative time Moreover, it is associated with minimal intraoperative and postoperative complications.
We recommend applying trans abdominal pre-peritoneal repair of inguinal hernia as strongly recommended, safe and feasible approach for repair of inguinal hernia.