A Prospective Study of Laparoscopic Transabdominal Preperitoneal Inguinal Repair versus Open Lichtenstein Repair in Maheshwara Medical College and Hospital
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 12
Abstract
Introduction: Since the advent of laparoscopic technique of surgery majority of hernioplasties are performed laparoscopically. The purpose of this surgery is to compare laparoscopic hernia repair with the open repair. There is less postoperative pain and early mobilization of the patient in laparoscopic hernioplasty than the open technique. Materials and Methods: this study is carried out in Department of General Surgery, Maheshwara Medical College and Hospital, Isnapur, Hyderabad. A total of 80 patients were included, who were then divided into two study groups containing 40 patients in each group. each patient was included into respective group of their choice after explaining both techniques to the patients. Group A patients under went laparoscopic transabdominal preperitoneal inguinal repair while in group b open lichtenstein repair was performed. Results: The open Lichtenstein procedure was found to have a significantly less operative time compared to TAPP procedure (100±15 minutes vs. 75.7±31.6 minutes; p=0.001; CI=95%; Mann Whitney ‘U’ test). TAPP group had a significantly low pain at 12hrs and 24hrs postoperatively. There was no difference between the TAPP group and Lichtenstein group regarding the mean hospital stay (37.2±12.1 hours vs. 38.2±13.6 hours; p=0.7; CI=95%; Mann Whitney ‘U’ test). The mean time to return to work was 12.1±11.8 days in TAPP group, which was significantly lesser than the Lichtenstein group (20.9±4 days; p= 0.04; CI=95%; student ‘t’ test). No recurrence was found. Conclusion: Laparoscopic TAPP was a safe and effective procedure for inguinal hernia repair. Laparoscopic TAPP was superior to open Lichtenstein procedure regarding preoperative and postoperative complications, postoperative pain, analgesic requirement, recurrence, and return to work. The laparoscopic TAPP can replace open Lichtenstein repair for inguinal hernias.
Authors and Affiliations
Dr. Santosh M Patil, Dr. Augusty Dharmapuri
Keywords
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- EP ID EP428655
- DOI 10.9790/0853-1712116265.
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