Assessment of perioperative outcome in primary unilateral inguinal hernia: A comparative study

Abstract

Background: An inguinal hernia is a protrusion of abdominal-cavity contents through the inguinal canal. Various technique available to repair of inguinal Hernia: Open suture repair, Open mesh repair and Laparoscopic hernia repair (TEP/TAPP). In this study comparison was done between laparoscopic procedure Transabdominal pre-peritoneal repair (TAPP) and totally extraperitoneal repair (TEP). Materials & methods: The study compared the result of two laproscopic hernioplasties in 50 cases divided in two groups. 25 cases in TEP group and 25 cases in TAPP group admitted in department of surgery, Govt. medical college and Rajindra hospital, Patiala. The evaluation and comparison was done in term of operative time, postoperative pain, Recurrence, cost effectiveness, and technical adaptation of surgery. Results: Difference in duration of surgery, cost effectiveness and technical adaptation in TEP and TAPP was not statistically significant. On observation post operative complication was more associate with TAPP than TEP. In case of hospital stay and time to return to usual activity no statistical difference present between TEP and TAPP. Pain was analysed by vast scale when pain was compared at the end of one month, it was inferred that number of patients in TEP more than TAPP have pain and p value was 0.6836 which was not significant. Conclusion: Higher incidence of postoperative complications is associated with TAPP in comparison to TEP. However; there was no difference in hospital stay, cost effectiveness, and technical adaptively.