COMPARISON OF OPEN MESH HERNIOPLASTY WITH LAPAROSCOPIC TOTAL EXTRAPERITONEAL (TEP) MESH REPAIRS FOR INGUINAL HERNIAS.

  • Muhammad Usman Allied Hospital, Faisalabad.
  • Kaiser Saleem Griffin Hospital, Derby.
  • Osman Riaz Dab Allied Hospital, Faisalabad.
  • Rana Asrar Ahmad Khan Allied Hospital, Faisalabad.
  • Saddaqat Hayat Allied Hospital, Faisalabad.
  • Ata Ul Lateef Allied Hospital, Faisalabad.
Keywords: Inguinal Hernia, Post-operative Pain, Postoperative Complication, Recurrence

Abstract

Background: Open Lichtenstein inguinal hernioplasty is universally accepted as a safe, well-understood method with a high success rate, the laparoscopicrepair of an inguinal hernia is a comparatively recent technique. Although the laparoscopic approach to a hernia repair procedure is related to less pain and faster recovery than openrepair, many surgeons are not familiar with this technique due to the technical demands and a long learning curve. In literature, there is controversy about the efficacy of both techniques. So, this study is conducted to evaluate a technique with better efficacy that will be offered to the patients in the future. Objectives: To compare the outcome of open mesh hernioplasty (Lichtenstein technique) with laparoscopic total extraperioneal (TEP) mesh repairs for the treatment of inguinal hernias. Study Design: Randomized control trial. Setting: Department of Surgery, Allied Hospital, Faisalabad. Period: From 7th February 2014 to 6th August 2014. Materials and Methods: 154 male patients with age between 20-45 years were included. Patients having INR > 1.5, history of chronic cough and previous abdominal surgery were excluded. Laparoscopic hernioplasty was performed in group A (n=77) and open hernioplasty was performed in group B (n=77). Results: The mean age of the patients was 32.91±7.78. In group A, 3 (3.9%) patients had ascrotal hematoma, while it was 12(15.6%) in group B. There is statistically significant difference between two groups (p-value=0.014). Conclusion: Laparoscopic TEP can be performed safely with acceptable postoperative complication and is better treatment modality than open mesh hernioplasty.

Author Biographies

Muhammad Usman, Allied Hospital, Faisalabad.

MBBS, FCPS (General Surgery)

Senior Registrar

Department of Surgery

 

Kaiser Saleem, Griffin Hospital, Derby.

MBBS, MD

Research Assistant

 

Osman Riaz Dab, Allied Hospital, Faisalabad.

MBBS, FCPS (General Surgery)

Senior Registrar

Department of Surgery

 

Rana Asrar Ahmad Khan, Allied Hospital, Faisalabad.

MBBS, FCPS

Assistant Professor

Department of Surgery

 

Saddaqat Hayat, Allied Hospital, Faisalabad.

MBBS, MRCS, FCPS

Senior Registrar

Department of Surgery

 

Ata Ul Lateef, Allied Hospital, Faisalabad.

MBBS, FCPS

Associate Professor

Department of Surgery

 

Published
2019-07-10