Title: evaluation of tapp efficacy and combined fixation of mesh implants for inguinal hernia repairs.The implementation of transabdominal preperitoneal approach (tapp) for inguinal hernia repairs has improved the treatment outcomes.It was reported that the usage of combined fixation of mesh in tapp repair will contribute to a reduction in the recurrence rate.The efficacy of tapp repair of inguinal hernias was evaluated in 128 patients aged 25-75.The patients were divided into two groups.In group i, (64 patients), a classical tapp was performed.In group ii (64 patients), an improved tapp was used: an ultrapro mesh implant (10 x 15 cm) which was fixed with protack hernia stapler at typical points.Sulfacrylate adhesive was used at the area of the iliopubic tract and iliac vessels.In group 2, reported complications included seroma (n-2; 3.12%) and hematoscheocele (n-3; 4.68%).It was concluded that tapp with combined fixation of mesh by use of protack hernia stapler at typical points and sulfacrylate adhesive at the area of the iliopubic tract and iliac vessels reduces the recurrence rate of inguinal hernias.It seems to be more effective in comparison with classical tapp.
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