Journal of AdvancedMedical and Dental Sciences Research

Background: Inguinal hernia repair is one of the most commonly performed surgical procedures in the world. The present study compared laparoscopic hernia repair using TAPP and TEP. Materials & Methods: The present study was conducted on 110 patients with inguinal hernia of both genders. Patients were divided into 2 groups of 55 each. Group I patients were treated with transabdominal preperitoneal patch plasty (TAPP) and group II patients with total extraperitoneal patch plasty (TEP). In both groups, type of hernia, ASA score, duration of operation, length of hospital stay and complications were recorded. Results: Type of hernia was medial in 16 in group I and 15 in group II, lateral 30 in group I and 25 in group II, femoral 6 in group I and 9 in group II and scrotal 3 in group I and 6 in group II. Duration of operation was 47.2 minutes in group I and 54.1 minutes in group II and length of stay was 1.72 days and 1.98 days in group I and group II. The difference was significant (P< 0.05). Intra- operative complication were bleeding 24 I group I and 35 in group II, injuries 20 in group I and 32 I group II which comprised of vascular, bladder and bowel injuries. Post- operative complications were intestinal lesion in 1 in group I and 2 in group II, infection 2 in group I and 3 in group II, seroma 4 in group I and 7 in group II, Intestinal obstruction 1 in group II, re- operation 4 in group I and 8 in group II and exitus letalis 2 in group II. The difference was significant (P< 0.05). Conclusion: Authors found that TAPP had less intra- operative and post operative complication and less operation time and hospital stay as compared to TEP.