Patients who underwent transversalis fascia inversion during TEP

Patients who did not undergo transversalis fascia inversion during TEP

This study will be carried out at SBU Istanbul Training and Research Hospital, General Surgery Clinic. Patients diagnosed with M2 and M3 direct primary inguinal hernia according to EHS classification and who will undergo TEP repair surgery will be randomized into 2 groups. After direct hernia reduction in the patients in the first group, the transversalis fascia at the hernia site will be pulled inward and fixed to the Cooper ligament with 2 or 3 absorbable tackers. Standard surgery will then be continued. The patients in the second group will undergo standard surgery without any seroma prevention procedure. Demographic data of patients in both groups, postoperative pain (VAS values) at postoperative 1st, 7th day and 3rd month, clinical/radiological seroma rate, postoperative pain, QOL, recurrence and other complications will be recorded. When the desired number of patients and follow-up period are reached, the data in the 2 groups will be compared.

The clinical/radiological seroma formation rates between the groups with and without transversalis fascia inversion and fixation.

Detect the presence of chronic pain and measuring quality of life after 3 months using the SF-36

Pain Scores on the Visual Analog Scale at postoperative 7tht day