IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-8-7-19951 Original Research Paper A SIMPLE MESH FIXATION TECHNIQUE FOR LAPAROSCOPIC GROIN HERNIA REPAIR Vengadesh Gopal Dr. July 2019 8 7 01 02 ABSTRACT

Background: Laparoscopic approach has become a procedure of choice for most of the groin hernia repairs. It has got a steep learning curve in view of few difficult steps involved in the operation. We developed a simple technique to fix the mesh using a single polyglactin stitch. This technique is cost effective and easy to learn. Methods: After creating the preperitoneal space in laparoscopic groin hernia repair, a polypropylene mesh with a polyglactin stitch in the center is placed in the space. The suture thread is pulled out using a suture passer inserted through inguinal region. This helps in spread of the mesh in preperitoneal space and also holds the mesh without migration. A knot is placed in the suture and pushed into the subcutaneous tissue. Results: A series of 66 patients with groin hernia underwent laparoscopic hernia repair using this new mesh fixation technique over a period of 24 months. There was no peroperative complication or early postoperative infection. None of the patients had chronic inguinodynia or hernia recurrence. Conclusion: The new mesh fixation technique is easy to perform and also cost effective. It will also improve the steep learning curve of laparoscopic hernia repair.