IJSR - International Journal of Scientific Research

Dr T J Rappai; Dr Vinay Sah; Dr Rahul Pandey; Dr Animesh Vatsa

Volume : VIII, Issue : VIII, August - 2019

Is Lichtenstein‘s Tension Free Repair still the Gold Standard for Inguinal Hernia in the era of Minimally Invasive Surgery?

Dr T J Rappai, Dr Vinay Sah, Dr Rahul Pandey, Dr Animesh Vatsa

Abstract :

Introduction:Totally extraperitoneal repair (TEP) and transabdominal preperitoneal repair (TAPP) have constantly challenged the gold standard procedure of Lichtenstein tension free mesh hernioplasty (LMR) for inguinal hernia (IH) surgery in the current era of minimally invasive surgery. A study to compare post–operative clinical outcomes, return to normal activity and complications in Laparoscopic TEP versus LMR was done. Methods: 50 consecutive male patients with uncomplicated IH were randomly allocated in two groups for surgery by either LMR or TEP. Comparison between the two groups was done in terms of postoperative pain, length of stay in hospital and number of days required to return to normal activity and complications following the procedure. Results: Overall pain scores, length of hospital stay and number of days required to return to normal activity was found to be significantly low in TEP group. There was no statistical difference in the two groups with respect to complications rate. Conclusion: TEP can be considered as standard surgery for inguinal hernia due to its advantages over open procedure