Background: Inguinal hernia repair is one of the most common surgical procedures
worldwide. While the Lichtenstein tension-free repair remains the gold standard for open
repair, laparoscopic transabdominal preperitoneal (TAPP) repair has gained popularity due to
its reduced postoperative pain and faster recovery. This study aims to compare the novel 3-
Cones Mesh Hernioplasty (Saleh technique) with TAPP repair in terms of operative time,
intraoperative complications, postoperative recovery, and recurrence rates.
Methods: This prospective study included 40 male patients with primary inguinal hernia,
randomized into two groups: Group A (3-Cones Mesh Hernioplasty) and Group B (TAPP
repair). Operative time, blood loss, and complications were recorded intraoperatively.
Postoperative outcomes such as pain scores (VAS), recovery time, and recurrence rates were evaluated after 6 months.
Results: Saleh technique had a shorter operative time (82 ± 14 min vs. 133 ± 31 min, p < 0.001)
but resulted in higher blood loss (70 mL vs. 30 mL, p < 0.001). Intraoperative and postoperative
complications showed no significant differences (p > 0.05). The TAPP group had lower pain
scores (median 3 vs. 4, p = 0.003) and faster recovery (4 vs. 8 days, p < 0.001). Recurrence
rates were comparable (p = 0.661).
Conclusions: Saleh technique provides a time-efficient alternative to TAPP repair,
demonstrating comparable safety and recurrence rates. While TAPP repair offers superior
postoperative recovery, the Saleh technique remains a viable and practical option, particularly
in resource-limited settings