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Category: Volume 06 Issue 09 September 2018
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Title: Efficacy and Outcome of Laparoscopic Inguinal Hernia Repair- A Prospective Study

Authors: Dr Shashikant Verma, Dr Ashutosh Silodia, Dr Mayuresh Hinduja, Dr Mahendra Singh Gond

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i9.83

Abstract

Introduction: The popularity of laparoscopic inguinal hernia repair is increasing due to less tissue dissection leading to less postoperative pain and a shorter duration of convalescence compared with an open hernia repair technique. There are two laparoscopic surgeries available for a groin hernia, Trans-abdominal pre-peritoneal (TAPP) and totally extra-peritoneal (TEP) hernia repair.

Aim of this study was to find out the efficacy and outcome of laparoscopic inguinal hernia repair.

Method: Laparoscopic inguinal hernia repair was done in 20 patients using either TAPP or TEP technique.

Observation: 10 cases (50 %) underwent TAPP repair and 10 cases (50%) TEP, of which 3 cases of TAPP and 2 cases of TEP was converted to open repair (25% cases) due to intraoperative complication. Mean operative time was 138 minutes for TAAP and180 minutes for TEP. Mean postoperative hospital stay was 3.71 days for TAAP and 3 days for TEP. Number of doses of analgesia required postoperatively for first 3 days was 7.71 doses in TAPP group and 7 doses in TEP group. There was no recurrence in follow up period.

Conclusion: Laparoscopic hernia repair is a good technique but has a longer learning curve but good postoperative recovery manifested as less pain, earlier mobilization and early return to his daily routine activity. The technique was efficacious as there was no recurrence in our study. There was significant decrease in pain score in both TAPP and TEP group, VAS scoring was >80% from 1st to 3rd post operated day.

Keywords: TAPP- Trans-abdominal pre-peritoneal repair, TEP- totally extra-peritoneal hernia repair, VAS scoring- Visual Analogue Scoring.

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Corresponding Author

Dr Ashutosh Silodia

Associate Professor, Department of General Surgery, NSCBMCH Jabalpur, India