This is the protocol for a review and there is no abstract. The objectives are as follows:
To determine whether there is any difference in patient outcome and morbidity when the mesh is fixed or not during laparoscopic inguinal hernia repair.
To compare different methods of mesh fixation i.e.: no fixation, fibrin glue sealant, tacks, and sutures.
The primary outcomes measured will be pain (inguinal or testicular), numbness and hernia recurrence.
The secondary outcome measures will be length of surgery, length of hospital stay, urinary retention, recovery time for normal activity, infection of the mesh.