A Comparative study of Laparoscopic Trans Abdominal Pre-Peritoneal Inguinal Meshplasty [TAPP] Versus Lichtenstein Open Inguinal Meshplasty
Journal Title: IJAR-Indian Journal of Applied Research - Year 2017, Vol 7, Issue 1
Abstract
Background: Hernia surgery has undergone tremendous refinement in technique. Various methods have been advocated by different authors but each has got its own merit. Lichtenstein open inguinal meshplasty (LOIN) involved placement of a mesh over the floor of the inguinal cannel .It is a tension free repair in contrary to Bassini and Shouldice suture repair. Laparoscopic Trans-abdominal Pre-Peritoneal meshplasty (TAPP) is a newer technique which results in less post operative pain, better cosmetic result, improves recovery. The aim of the study was to compare operative time , early complication & recurrence that occurs from both laparoscopic TAPP repair and Lichtenstein repair in patients of inguinal hernia. Mathodology : The present study comprises 25 cases underwent open Lichtenstein mesh repair and 25 cases underwent laparoscopic After surgery all patients were monitored carefully for pain, bleeding, wound infection and seroma formation.Patients were followed up to one year at regular interval postoperatively. Results : In our study duration of surgery in Lichtenstein operation was 45.59 minutes whereas in laparoscopic TAPP repair was 56.39 minutes in case of unilateral inguinal hernia repair. Group A is having significantly more cost of treatment than Group B in unilateral and not significant in bilateral. The hospital stay was significantly low in group A than Group B. Conclusion : Lichtenstein repair, which can be done under regional anaesthesia is a safe and economic technique. With the advancement of minimally invasive surgery laparoscopic hernia repair is gaining popularity .The laparoscopic approach to inguinal hernia surgery is safe and simple and considered to be an appropriate approach for inguinal hernia surgery. mean operative time was more in TAPP as compared to Lichtenstein’s meshplasty,post-operative stay in TAPP was less than Lichtenstein’s meshplasty, TAPP repair is more expensive compared to Lichtenstein’s meshplasty, TAPP repair is associated with faster recovery as compared to open Lichtenstein meshplasty.
Authors and Affiliations
Dr. Manish Kumar kashyap, Dr. Virendra S Athavale, Dr. D. S. Nirhale
Keywords
Related Articles
- EP ID EP458590
- DOI -
- Views 48
- Downloads 0
Production of Dahi Powder Using Vacuum Tray Drier.
Dahi powder is prepared by dehydrating Dahi. Freeze drying is the most accepted and studied method for dehydrating Dahi. Present study was undertaken to prepare Dahi powder by using vacuum Tray drier. Dahi (Total solids...
Indian Stock Market and Monetary Policy, Its Impact on Stock Returns
Monetary policy is the macroeconomic policy laid down by the central bank. It involves management of money supply and interest rate and is the demand side economic policy used by the government of a country to achieve ma...
Hearing Assessment following Tympanostomy Tube insertion in children with Otitis Media with Effusion
Otitis media with effusion affects the child’s hearing and also his cognitive, linguistic and communicative skills. Myringotomy and tympanostomy tube insertion improves hearing and prevents atrophy of the drum. The aims...
Duodenal Perforation- A Prospective Study of One Year
Introduction: Duodenal perforation is still the most common surgical emeregency in our country. Perforated peptic ulcer is a serious complication of peptic ulcers with potential risk of grave complications .This study wa...
Role of Thyroid Dysfunction in Patients with Menstrual Disorders in A Tertiary Care Centre of Thoothukudi
The aim of the study was to study the prevalence of thyroid dysfunction and it correlation with menstrual disorders. This study was conducted in the Department of Obstetrics and gynaecology, Thoothukudi Medical College,...