TRANSINGUINAL PREPERITONEAL REPAIR (TIPP) VERSUS LICHTENSTEIN’S REPAIR FOR INGUINAL HERNIA- A COMPARATIVE STUDY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 39
Abstract
BACKGROUND The concept of preperitoneal repair of inguinal hernia was an effort by Stoppa to reduce the high recurrence rates associated with anterior repairs popular at that time, most of the techniques were tissue based as against prosthetic repair. The Transinguinal Preperitoneal (TIPP) Procedure has been described as an alternative open preperitoneal mesh repair. Our study compared inguinal hernia repair by open transinguinal preperitoneal repair with Lichtenstein’s repair. MATERIALS AND METHODS A total of 80 patients was included in this study with 40 patients in each group. Both the groups were operated under spinal anaesthesia and by a single competent surgeon. Randomisation was done through computerised random number generation. Both the procedures were performed as per standard guidelines. RESULTS The proportional differences in age groups of patients in both the groups was not statistically significant. Proportion of patients with left inguinal hernia was higher in Group I (35.00%) as compared to Group II (32.50%), but this difference was not statistically significant. Mean duration of surgery in Group I (60.00 + 13.25 minutes) was found to be higher than that in Group II (54.00 + 8.49 minutes). This difference was found to be statistically significant (p = 0.018). CONCLUSION Transinguinal preperitoneal mesh repair and Lichtenstein repair methods are comparable surgical techniques with respect to intraoperative as well as post-operative outcomes.
Authors and Affiliations
Faisal Moin Ansari, Chandra Shekhar, Osman Musa, Hira Shuaib
Keywords
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- EP ID EP213105
- DOI 10.14260/Jemds/2017/677
- Views 81
- Downloads 0
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