Laparoscopic total extra peritoneal versus open Lichtenstein repair of inguinal hernia: a comparative analysis
Journal Title: International Journal Of Research In Medicine - Year 2016, Vol 5, Issue 4
Abstract
BACKGROUND: Inguinal hernia repair is a commonly performed surgery usually managed by open surgical mesh repair. Nowadays many patients are demanding laparoscopic hernia repair, which has a shorter rehabilitation, but it is a technically difficult. METHOD: This prospective study of 80 patients is done at V. S. hospital Ahmedabad from August 2014 to October 2016. 50 patients underwent Lichtenstein tension free mesh repair while on 30 patients TEP was performed. RESULTS: Out of 80 patients 7 patients were lost to follow up at 2 weeks. 47 patients in Lichtenstein group and 26 patients in TEP group were followed for 6 months. Average operation time was 39.3±16.4 minutes for the Lichtenstein group and 51.4±15.8 minutes for the TEP group. Postoperatively, pain score was 6.5±3.5 in Lichtenstein group as compared to 5.8±1.5 in TEP group. The TEP patients got significantly fewer analgesics than the Lichtenstein patients (2.4 ± 1.0) versus (3.5 ± 1.3) doses. TEP patients needed significantly fewer admission days than Lichtenstein patients (2.5±0.6 versus 1.8±0.5 days,). TEP patients returned to work earlier as compared to Lichtenstein group (11.7±4.9 days versus 14.8±4.2 days). Short term and long complications were similar in both groups. CONCLUSIONS: Laparoscopic hernioplasty (TEP) is better than Lichtenstein repair in terms of less postoperative pain, less analgesia during recovery and an earlier discharge and return to daily work hence higher patient satisfaction. Learning curve of laparoscopic hernioplasty is not problem with training and experience.
Authors and Affiliations
Manoranjan Kushwaha, Mayur Rabari, Maulik bhadaniya, Rajan pandya
Keywords
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