Abstract

Background and Objectives: In laparoscopic inguinal hernia repair, a laparo-scope connected to a special camera enters the body and enables the surgeon to see the herniation and surrounding tissues in a monitor. The purpose of this study was to compare the various methods of parietal peritoneum closure in repairing inguinal hernia with laparoscopic surgery. Materials and Methods: Sixty-six patients who were candidates for laparo-scopic inguinal hernia repair were participated in this study. They were divided into the three groups of peritoneum suturing (22 patients), tacker technique (22 patients), and dual mesh plus non-closure of the peritoneum (22 patients). Pain score at 7 and 30 days after surgery, recurrence after surgery, time to return to daily activities, hospitalization stay, and postoperative complications were evaluated in all the three groups. Data were analyzed using SPSS, version 22. Results: We did not find any significant differences in age, gender, and surgical technique among the three groups (P>0.05). There were no significant differ-ence in pain score and hernia recurrence at 7 and 30 days after hernia surgery among the three groups (P>0.05). Hospital stay after repairing inguinal hernia repair in the tacker method group was significantly longer than that in the su-turing method group (P<0.05), and in suture group, it was significantly more than that in the dual mesh group (P<0.05). There was no significant difference in time to return to daily activity among the three groups (P>0.05). There was no difference in postoperative inguinal hernia complications like seroma, bleed-ing, wound infection, urinary retention, ileus, anatomic damage, chronic ingui-nal pain, and testicular cord damage among the three groups (P>0.05). Conclusion: There was no difference in pain score, hernia recurrence, time of returning to daily activities, and complication rate among the three techniques of peritoneal closure using tacker, peritoneal closure using suture, and non-closure of the peritoneum plus using dual mesh. Therefore, peritoneal closure using suture or tacker could be a good substitute for non-closure of the perito-neum in inguinal hernia repair surgery.