Volume : VII, Issue : I, January - 2017

A Comparative study of Laparoscopic Trans Abdominal Pre�Peritoneal Inguinal Meshplasty [TAPP] Versus Lichtenstein Open Inguinal Meshplasty

Dr. Manish Kumar Kashyap, Dr. Virendra S Athavale, Dr. D. S. Nirhale

Abstract :

 Background:  Hernia surgery has undergone tremendous refinement in technique. Various methods have been advocated by different authors but each has got its own merit.  Lichtenstein open inguinal meshplasty (LOIN) involved placement of a mesh over the floor of the inguinal cannel .It is a tension free repair in contrary to Bassini and Shouldice suture repair.  Laparoscopic Trans–abdominal Pre–Peritoneal meshplasty (TAPP) is a newer technique which results in less post operative pain, better cosmetic result, improves recovery. The aim of the study was to compare  operative time , early complication & recurrence that occurs from both laparoscopic TAPP repair and Lichtenstein repair in patients of inguinal hernia.  Mathodology : The present study comprises  25 cases underwent open Lichtenstein mesh repair and 25 cases underwent laparoscopic  After surgery all patients were monitored carefully for pain, bleeding, wound infection and seroma formation.Patients were followed up to one year at regular interval postoperatively. Results : In our study duration of surgery in Lichtenstein operation was 45.59 minutes whereas in laparoscopic TAPP repair was 56.39 minutes in case of unilateral inguinal hernia repair. Group A is having significantly more cost of treatment than Group B in unilateral and not significant in bilateral. The hospital stay was significantly low in group A than Group B. Conclusion  : Lichtenstein repair, which can be done under regional anaesthesia is a safe and economic technique. With the advancement of minimally invasive surgery laparoscopic hernia repair is gaining popularity .The laparoscopic approach to inguinal hernia surgery is safe and simple and considered to be an appropriate approach for inguinal hernia surgery. mean operative time was more in TAPP as compared to Lichtenstein’s meshplasty,post–operative stay in TAPP was less than Lichtenstein’s meshplasty, TAPP repair is more expensive compared to Lichtenstein’s meshplasty, TAPP repair is associated with faster recovery as compared to open Lichtenstein meshplasty. .

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr. Manish Kumar kashyap, Dr. Virendra S Athavale, Dr. D.S. Nirhale, A Comparative study of Laparoscopic Trans Abdominal Pre�Peritoneal Inguinal Meshplasty [TAPP] Versus Lichtenstein Open Inguinal Meshplasty, Indian Journal of Applied Research,Volume : 7 | Issue : 1 | JANUARY 2017

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