COMPARITIVE STUDY OF LAPAROSCOPIC TOTAL EXTRAPERITONEAL HERNIOPLASTY (TEP) AND STOPPA'S TECHNIQUES FOR BILATERAL INGUINAL HERNIA

Adil A Kalam; Manoj Kumar

Volume : IX, Issue : I, January - 2019

COMPARITIVE STUDY OF LAPAROSCOPIC TOTAL EXTRAPERITONEAL HERNIOPLASTY (TEP) AND STOPPA'S TECHNIQUES FOR BILATERAL INGUINAL HERNIA

Adil A Kalam, Manoj Kumar

Abstract :

Background: The study compared the effectiveness and early and long–term clinical outcomes of 30 patients each who have undergone laparoscopic total extra peritoneal hernioplasty (Lap TEP) and Stoppa’s repair for bilateral inguinal hernias in terms of duration of surgery, post op morbidities and early & late complications. Methods: 60 patients who underwent laparoscopic total extra peritoneal hernioplasty and Stoppa’s mesh repair at a tertiary care centre, after obtaining consent and satisfying the inclusion and exclusion criteria were assessed intraoperatively and postoperatively and systematically followed up at regular intervals for a duration of one year. Results: The analysis of the data collected both by medical records and serial follow ups in both the groups with comparable age, showed a lesser operating time for Lap TEP repair. Postoperative morbidity in terms of requirement of added post–operative analgesia, requirement of drain and urinary catheter, delay in ambulation and increased duration of hospital stay was seen in the Stoppa’s repair group. Post–operative pain score was more in the Stoppa’s and one case of Stoppa’s had developed post op recurrence at one month. Conclusion: The present study reveals that Lap TEP is a better modality than Stoppa’s repair in terms of duration of surgery, and early post–operative morbidity for bilateral Inguinal Hernia repair