Indigenous balloon Versus Telescopic dissection for extraperitoneal space creation in TEP: A Randomised comparative trial.

Shailesh Kumar; Manoj Kumar Dokania; Neeraj Kumar

Volume : VIII, Issue : V, May - 2018

Indigenous balloon Versus Telescopic dissection for extraperitoneal space creation in TEP: A Randomised comparative trial.

Shailesh Kumar, Manoj Kumar Dokania, Neeraj Kumar

Abstract :

Among different laparoscopic technique, TEP has advantage of non violation of coelomic cavity hence very less chance of visceral injury and adhesion formation. TEP has long learning curve probably because of constraint of working space and unfamiliar preperitoneal anatomy and surrounding major vessels. Dissection to create pre–peritoneal space can be done directly with telescope or with help of balloon technique.

Methods– We used an indigenous balloon made by tying the two cut piece of middle finger of latex glove tightly onto the tip of the suction cannula with silk to create the extraperitoneal space

Results–results were compared in terms of operative times, peritoneal each, post operative pain, seroma formation and scrotal edema. It was observed that results were definitely better with balloon dissection in all parameter studied and were significantly better on statistical analysis in terms of Post operative pain, peritoneal each and seroma formation.