Volume-8, Issue-9, September 2022

Abstract

Background: 

Laparoscopic Transabdominal preperitoneal [TAPP] repair of inguinal hernia has become more popular in recent years as minimally invasive surgery is getting hold in surgery. Although controversy still exists about the most effective inguinal hernia repair. The aim of this study was to compare the common complications of open lichenstien repair and TAPP. 

Method 

Between Oct 2018 to Oct 2021 patients with unilateral inguinal hernia and ASA grade 1&2 were selected to be included in the study in outpatient department and randomized prospectively into group-1 (TAPP repair), and group-2 (lichenstien open mesh repair). 

Results: 

A total of 80 patients were included in the study. Male 76 and Female 4. Age range was 24 to 68 years. Primary inguinal hernias were present in 68 cases while recurrent in 12. Post-operative pain was more in Liechestien group. Scrotal swelling was most common complication noted in group-2. Operative time was more in TAPP, 90 minutes as compared to 55 minutes in lichenstien group. Recurrence was more in group -2. Overall complication rate in group -2 was 14(17.5%) and in group -1 it was 2(2.5%). 

Conclusion: 

TAPP is a safe and effective alternative to open surgery with less complication and recurence rate. However, it has more operative time and steep learning curve.

Keywords: TAPP, inguinal hernia, lichenstien, complication.

References

Keywords: TAPP, inguinal hernia, lichenstien, complication.