Abstract:
Background: Inguinal hernia is undoubtedly the commonest type of hernia and has got a significant burden of morbidity and mortality posed by its symptoms and complications, especially if left untreated. Mesh hernioplasty is a wellestablished cure commonly done by the open method (Lichtenstein) and less so by the laparoscopic method (TAPP). Objectives: To compare the outcome of TAPP and Lichtenstein repair for inguinal hernias. Methods: In this study, data from the last one year was taken from the Dept of Surgery, LGH, Lahore. Eighty patients with mean ages of group-A (40.4±10.69) and group B (40.52±11.03) years based on inclusion criteria were selected. In group A, TAPP repair was done. In group B, Lichtenstein repair was done. All research parameters were recorded and calculated to get results. Results: Mean operative time was significantly lower for Lichtenstein Repair as compared to TAPP, i.e. 44.05 vs. 52.27, P-Value = 0.001. The mean hospital stay was significantly short for TAPP as that Lichtenstein repairs i.e. 2.05 days vs. 3.02 days, p-value=0.000. However, the postoperative infection rate was higher in patients in the Lichtenstein Repair group i.e. TAPP: 10% vs Lichtenstein: 17.5%. Conclusion: TAPP is more effective than Lichtenstein repair by offering the patients a shorter hospital stay and less postoperative infection for treating inguinal hernia but has a little longer operative time.
Keywords:
Hospital stay
,
Laparoscopic
,
Operative time
,
postoperative infection
,
Transabdominal Preperitoneal TAPP
,
inguinal hernias
,
Lichtenstein Open