Jebmh.com Original Article J. Evid. Based Med. Healthc., pISSN- 2349-2562, eISSN- 2349-2570/ Vol. 3/Issue 14/Feb. 18, 2016 Page 490 A COMPARATIVE STUDY IN LAPAROSCOPIC INGUINAL HERNIA REPAIR BETWEEN FIXATION VS NON-FIXATION OF MESH Ayush Srivastava 1 , Rajeev Singh 2 , Lakshman Singh Pal 3 1 3 rd Year Junior Resident, Department of General Surgery, Government Medical College, Haldwani. 2 Associate Professor, Department of General Surgery, Government Medical College, Haldwani. 3 Assistant Professor, Department of General Surgery, Government Medical College, Haldwani. ABSTRACT INTRODUCTION An inguinal hernia is a weakness in the wall of the abdominal cavity that is large enough to allow escape of soft body tissue or internal organ, especially a part of the intestine. It usually appears as a lump and for some peoples can cause pain and discomfort, limit daily activities and the ability to work. If the bowel strangulates or becomes obstructed it can be life- threatening. A hernia is repaired generally using a synthetic mesh either with open surgery or increasingly using less invasive laparoscopic procedures. AIMS AND OBJECTIVES To compare and evaluate Laparoscopic hernia repair (trans-abdominal pre-peritoneal and total extra peritoneal repair (TAPP & TEP) using Prolene mesh with or without fixation. MATERIAL AND METHODS Our study was conducted in dept. of surgery, Government Medical College and associated Dr. Susheela Tiwari Hospital. A total sample of 100 patients who underwent inguinal hernia repair as an elective surgery. 50 of whom underwent fixation of mesh (fixation will be done either by tacker or suture). Rest 5o underwent non fixation of mesh. RESULTS In our study Statistically there was non-significant heterogeneity in operating time (p = 0.15), post-operative pain (p = 0.45), post-operative complications (p = 0.55) and length of hospital stay (p = 0.11) were statistically comparable between two techniques of mesh fixation in LIHR. The risk of developing chronic groin pain (p = 0.67) and risk of hernia recurrence (p = 0.77) was also similar. CONCLUSION NMF in LIHR does not increase the risk of hernia recurrence. It is comparable with TMF in terms of operation time, post- operative pain, post-operative complications, length of hospital stay and chronic groin pain. Therefore, based upon the results of our study NMF approach may be adopted routinely and safely in LIHR. KEYWORDS Fixation, Non-Fixation, Mesh, Laparoscopic, Inguinal Hernia. HOW TO CITE THIS ARTICLE: Srivastava A, Singh R, Pal LS. A comparative study in laparoscopic inguinal hernia repair between fixaton vs non-fixation of mesh. J. Evid. Based Med. Healthc. 2016; 3(14), 490-492. DOI: 10.18410/jebmh/2016/112 INTRODUCTION:  An inguinal hernia is a weakness in the wall of the abdominal cavity that is large enough to allow escape of soft body tissue or internal organ, especially a part of the intestine.  It usually appears as a lump and for some peoples can cause pain and discomfort, limit daily activities and the ability to work.  If the bowel strangulates or becomes obstructed it can be life-threatening.  A hernia is repaired generally using a synthetic mesh either with open surgery or increasingly using less invasive laparoscopic procedures. 1 Two Different Techniques for Repairing a Hernia in the Groin: 1. Open Type: For open hernia repair surgery, a single long incision is made in the groin.  If the hernia is bulging out of the abdominal wall (a direct hernia), the bulge is pushed back into place.  If the hernia is going down the inguinal canal (indirect), the hernia sac is either pushed back or tied off and removed. Submission 29-01-2016, Peer Review 12-02-2016, Acceptance 17-02-2016, Published 18-02-2016. Corresponding Author: Dr. Ayush Srivastava, SR Hostel, Room No. 87, GMC, Haldwani, Haldwani, Uttarakhand. E-mail: ashishjaiswal090@gmail.com DOI: 10.18410/jebmh/2016/112