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Prospective Study to Compare Laparoscopic Total Extra Peritoneal Repair (TEP) and Lichtenstein’s Mesh Repair (LR) for Inguinal Hernias

Shiv Kumar Bunkar, Professor, Department of General Surgery, J.L.N Medical College Ajmer, Rajasthan 305001, India. , Shiv Kumar Bunkara , Bhim Chand Meenab , Amit Kumar Kayalc , Amit Singhd , Kalpana Agarwald , Dony Devasiac

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New Indian Journal of Surgery 8(3):p 350-357, Jul-Sep 2017. | DOI: https://dx.doi.org/10.21088/nijs.0976.4747.8317.9

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Abstract

Background: The present study is designed to compare laparoscopic total extra peritoneal repair and Lichtenstein’s mesh repair For Inguinal Hernias, in terms of duration of operation, post operative pain, Intraoperative complications, postoperative complications and Post operative convalescence period.

Methods: A prospective observational study of 50 patients with inguinal hernia was conducted at J.L.N. Medical College, Ajmer Rajasthan India; patients were assigned into two groups through randomization. Hernia repairs performed by either laparoscopic totally extra peritoneal route (TEP) or Lichtenstein repair (LR) according to group allocation. Data was recorded prospectively and each TEP repair was matched with a LR for analysis.

Results: The mean duration of surgery was 84.60 minutes (SD=33.99) in the laparoscopic group, which was significantly more (P=0.0000) than the open group in which time duration was 51.56 minutes with SD of 5.53. The overall rate of complications in the 50 patients was 14/50 (28%). The complication rate was not significantly different in the two groups (P=0.0584).The minimum average time to return to normal activity was taken by the Laparoscopic TEP repair group (5.32 days, S.D. =1.35), which was statistically significant in overall comparison (8.28 days, P=0.000).

Conclusion: Results for laparoscopic TEP hernia repair seem to be superior to results for open Lichtenstein’s mesh (LR) repair in terms of length of hospital stay, wound infection, major complications, and overall return to normal activity.

 

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DOI: https://dx.doi.org/10.21088/nijs.0976.4747.8317.9

Keywords

Laparoscopy; Inguinal Hernia; Laparoscopic Total Extra Peritoneal Repair; Lichtenstein’s Mesh Repair. 

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