LAPAROSCOPIC TRANSABDOMINAL PRE PERITONEAL MESH HERNIOPLASTY AN INITIAL EXPERIENCE AT KHYBER TEACHING HOSPITAL.
Objectives: To study the outcome of Laparoscopic Transabdominal Pre Peritoneal Mesh Repair in our local setup. Design: Observational study. Place & Duration of Study: Surgical E Ward, Khyber Teaching Hospital, Peshawar. Patients & Methods: This study was conducted over a period of one year from June 2014 to June 2015; both male and female were included in the study. Initial 50 cases were included in this study. All the data was entered and analyzed by SPSS version 20.0. Results: There was only one female (2%) and 49 males (98%). With mean age of 36.46 ±14.53 years, right sided hernia was more common than left, indirect hernia was more common than direct. The mean duration of surgery was 62.05± 15.42 minutes. The mean length of hospital stay was 3.34 ± 0.5days. Mean VAS at 24 hours post operatively was 2.70 ±1.05 which was reduced to 1.24 ± 0.43 at 1 week follow up. Wound complications were negligible and there was zero recurrence at 3 month follow up. Conclusion: Due to its excellent post-operative profile and patient satisfaction TAPP procedure for inguinal hernia repair is an ideal intervention in expert hands.