Comparison of total extraperitoneal and Lichtenstein repair for Inguinal Hernia.

Abstract

Objective: To compare the outcome of surgical repair of inguinal hernia between total extra peritoneal repair (TEP) and Lichtenstein repair. Study Design: Randomized Controlled Trial. Setting: Department of Surgery, Sheikh Zayed Hospital, Rahim Yar Khan. Period: 24-03-2021 to 23-09-2021. Material & Methods: Non probability consecutive sampling. The cases of both genders with age range of 20-60 years with inguinal hernia (both direct and indirect) were included. The cases in group A were managed by laparoscopic TEP while those in group B underwent Lichtenstein repair. Prolonged hospital stay was labeled when the patients were not discharged after 24 hours of surgery and post-operative pain was labelled as yes when the patient had pain of score of 3 or more assessed by visual analogue scale after the 2 weeks of the surgery. Results: In this study 62 cases were included, 31 in each group. The mean age in group A and B was 32.90±9.89 vs 32.67±7.57 years and mean duration of hospital stay was 22.77±6.84 vs 26.00±11.25 hours with P=0.004 in group A and B respectively. Postoperative pain was seen in 08 (25.80%) cases in group A and 19 (61.29%) cases in group B with P=0.01. Prolonged hospital stay was observed in 10 (32.25%) cases in group A and 18 (58.06%) cases in group B withP= 0.07. Conclusion: Postoperative pain is significantly higher in cases managed with Lichtenstein repair as compared to total extra peritoneal repair.