Evaluation of early post-operative pain and seroma formation in transabdominal pre-peritoneal (TAPP) repair of groin hernias with light weight mesh placement.

  • Maham Qazi Khyber Teaching Hospital, Peshawar, Pakistan.
  • Maria Mir Jan Khyber Teaching Hospital, Peshawar, Pakistan.
  • Junaid Zeb Khyber Teaching Hospital, Peshawar.
  • Muslihuddin - Khyber Teaching Hospital, Peshawar.
  • Mohammad Zarin Khyber Teaching Hospital, Peshawar.
  • Farah Naz Khyber Teaching Hospital, Peshawar.
  • M Yahya Khan Khyber Teaching Hospital, Peshawar.
Keywords: Inguinal Hernia, Light Weight Mesh, Seroma, TAPP Technique

Abstract

Objectives: To share our experience with laparoscopic surgery using TAPP technique, for groin hernias using light weight parietene mesh, to find out early post operative pain and foreign body sensation as complications. Study Design: Cross sectional study. Setting: Department of Surgery Khyber Teaching Hospital Peshawar. Period: January 2018 till August 2018. Material & Methods: A sample of 100 patients was recruited into study. All patients underwent standard transabdominal preperitonial repair with light weight Mesh. Data was collected by predesigned Performa and analyzed with SPSS 21. Results: Out of 100 patients 98% were male, 2% female, mean age was 43.2± 5.3years (minimum 17years and maximum 64years). Regarding frequency of type of hernia data showed 68% patients had indirect inguinal hernia while 32% patients had direct inguinal hernia. 65% patients had right sided inguinal hernia, 26% left sided while 9% had bilateral inguinal hernia. Post operative hospital stay showed hematoma in 5% patients, seroma in 12% patients, wound infection in 8% of patients while foreign body sensation in 4% patients. Conclusion: Most of the patients presented were of middle age. Indirect inguinal hernia was more frequent than direct inguinal hernia. Common complications apart from pain were seroma formation, hematoma, wound infection and foreign body sensation.

Author Biographies

Maham Qazi, Khyber Teaching Hospital, Peshawar, Pakistan.

MBBS

Resident Surgeon Surgery

Maria Mir Jan, Khyber Teaching Hospital, Peshawar, Pakistan.

MBBS

Resident Surgeon Surgery

Junaid Zeb, Khyber Teaching Hospital, Peshawar.

MBBS

Resident Surgeon

Muslihuddin -, Khyber Teaching Hospital, Peshawar.

MBBS, FCPS (General Surgery)

Registrar

Mohammad Zarin, Khyber Teaching Hospital, Peshawar.

MBBS, FCPS, FMAS.

Associate Professor Surgery

Farah Naz, Khyber Teaching Hospital, Peshawar.

MBBS

PGR Surgery

M Yahya Khan, Khyber Teaching Hospital, Peshawar.

MBBS

PGR Surgery

Published
2020-11-10