Volume 8 Issue 5 (May, 2020)

Original Articles

Short term Outcome of Lichtenstein Tension Free Hernia Repair vs Laparoscopic TAPP
Chetan Singla, Paras Kumar Pandove, Harmanjot Kaur, Harnam Singh Rekhi

Background: Inguinal hernia is one among the most common surgical procedures worldwide. Repair of inguinal hernia is one among the commonest surgical procedures worldwide. The aim of this study was to compare the effectiveness and safety of laparoscopic and conventional Lichtenstein repair in the treatment of inguinal hernia. Materials & methods: This prospective randomized controlled study had been conducted in Department of Surgery, Government Medical College and Rajindra Hospital, Patiala. A sample of 50 patients was randomized into 2 groups. Randomization was done by draw of lot method. Group A underwent Lichtenstein repair and Group 2 underwent TAPP repair. Clinical outcomes were postoperative pain, hospital stay, recurrence, operative time, time to return to normal activity and cost analysis. Results: The mean age of patients in group A was 49.92 ±15.03 years and 46.28±11.46 years for group B (p=0.340). The mean operating time in Lichtenstein repair was 51± 10.61 minutes which was significantly less as compared to laparoscopic TAPP(94±14.53minutes) (p=0.001). Difference in mean hospital stay between laparoscopic TAPP (2.56 days±1.19) and Lichtenstein group (3.84±0.94 days) was significant statistically (p=0.001). Difference in mean duration for return to normal activity was statistically significant among group A and group B (p<0.001). There was one recurrence in Lichtenstein repair group and two in laparoscopic TAPP repair group (p=0.551). Difference of cost between Lichtenstein repair and laparoscopic TAPP repair was statistically significant whether suture (0.031) or tacker (0.049) were used for fixation of mesh. Conclusion: Laparoscopic TAPP repair is equally effective procedure for inguinal hernia repair as compared to Lichtenstein repair. Operating time and cost can be minimized with experience of surgeons in laparoscopic TAPP hernia repair. Key words: Lichtenstein Repair, Hernia, TAPP, Outcomes

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