Title: TEP versus TAPP Repair for Inguinal Hernia- A Prospective Study in a Tertiary Care Centre (IGMC Shimla)
Authors: Dr VK Sharma, Dr U K Chandel, Dr Dinesh Thakur, Dr KJS Jaswal, Dr RS Jhobta
DOI: https://dx.doi.org/10.18535/jmscr/v5i1.74
Abstract
This study was conducted in Department of Surgery w.e.f. June 2013 to May 2014. The purpose of our study was to compare two laparoscopic procedures for inguinal hernia repair in terms of operative time, postoperative pain, hospital stay and postoperative complications .A total of 40 patients were subjected to surgery allocating to TAPP or TEP group alternatively, thus each group having 20 patients . It was observed that operative time was little more in TEP group as compared with TAPP. Operative time ranged between 50-130 minutes (mean 78.25 minutes) in TEP group and 40-70 minutes (mean 58 minutes) in TAPP group. There was no significant difference in postoperative pain, need for analgesia, hospital stay and return to work. (P value> 0.05) There was no major postoperative complications in either group. Minor complications like, seroma was observed in 2cases(10%), Pneumoscrotum in 3 cases (15%) and UTI in 1 case(5%) in TEP group while in TAPP group haematoma in 3 cases(15%) and scrotal edema in 3 cases(15%) were observed. There were no recurrance in either group over a follow up period of 6-12 months. It was observed in the present study that both procedures are equally effective in hernia repair, but TEP takes more time as space is limited, hence we conclude that TAPP repair of inguinal hernia is easier and equally effective.
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