Totally extra peritoneal repair under general anesthesia versus Lichtenstein repair under local anesthesia for unilateral inguinal hernia: a prospective randomized controlled study
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2016, Vol 4, Issue 5
Abstract
A hernia is defined as an abnormal protrusion of a viscus, in part or in whole, through a normal or abnormal-congenital or acquired-defect in the wall through the region of the abdominal wall that contains it. Inguinal hernia is the most common variety accounting for approximately 75% of all hernias. Laparoscopic hernia repairs and open Lichtenstein hernioplasty both have same recurrence rate according to multiple studies. This study was conducted to know the pros and cons of laparoscopic unilateral inguinal hernia repair by Total Extra-Peritoneal [TEP] approach under general anesthesia in comparison to that of open Lichtenstein inguinal hernia repair under local anesthesia in terms of Operating time, Post operative pain and analgesic requirement, Intra operative and post operative Complications, Duration of hospital stay, Cost effectiveness. 200 cases were randomly selected according to selection criteria and randomized for Lichtenstein repair and laparoscopic TEP. Two groups were compared as per aims. Suitable statistical test were applied. The Random study conducted over 200 patients showed that laparoscopic hernia repair had less post operative pain, less hospital stay, decreased seroma and infection rate of incision, more cosmetically acceptable by patients in comparison with open Lichtenstein hernia repair under local anesthesia. Lichtenstein open hernioplasty under local anesthesia was cost effective and devoid of post operative adverse affects of general anesthesia. The laparoscopic hernia repair is better than Lichtenstein hernia repair for unilateral inguinal hernia repair except for the long duration of surgery and cost effectiveness. Keywords: TEP, less complications, less post operative pain, cost effective
Authors and Affiliations
Dr. Shankarlal, Dr. Vijay Haralgat Seetharamaiah, Dr. R. K. Kajla
Keywords
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