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 42
- Downloads 0
ON THE MULTIPLICATIVE TOPOLOGICAL INDICES OF CARBON NANOCONES
Let G be a simple and connected graph with the vertex set V (G) and edge set E (G). The nanocones can be considered as the nanoscale conical carbon-based material. In carbon nanocones CNCk[n], the parameter k defines the...
Results and complications of bicanalicular intubation in external Dacryocystorhinostomy
Purpose: To analyse the success rate and complications of primary intubation with silicon tube at 6months follow up of DCR in patients with lacrimal obstruction. MATERIALS AND METHODS: In a prospective study, eighteen ey...
Early Detection of Down Syndrome Marker Using Fetal Nasal Bone Length During First and Second Trimester
Down syndrome (DS) causes mild to moderate psychological retardation among fetus and it occurs 1/1000 live births. Even various approaches has been implemented for DS detection, still it is- a chal lenging task in prenat...
EFFICACY OF PANCHKARMA THERAPY IN CERVICAL SPONDYLOSIS : A CASE STUDY
A 43years old female patient with pain and stiffness in neck, heaviness & numbness in upper limbs, pain in left side of body and diagnosed as case of cervical spondylosis was treated with panchkarma therapies and interna...
A RANDOMIZED PROSPECTIVE TRIAL TO STUDY THE IMPACT OF THYROID DISORDERS ON FETOMATERNAL OUTCOME
Objectives : To study the prevalence, maternal and fetal outcome in thyroid disorders in pregnancy. Methods : The study was conducted in the department of Obstetrics and Gynaecology, S.P. Medical College and Associated G...