PROSPECTIVE STUDY COMPARING LICHTENSTEIN REPAIR WITH LAPAROSCOPIC TAAP REPAIR FOR INGUINAL HERNIA

Volume : VII, Issue : IV, April - 2018

Dr. Ganesh Sonawane, Dr. Kiran Gaikwad, Dr. Dnyanesh Belekar

Background: Inguinal hernia surgery remains till date one of the most commonly performed surgeries. Inguinal herniorrhaphy through an anterior

open approach is a time tested, safe and well understood operation with high success rate. With the advent of laparoscope and the increasing

spectrum of minimally invasive surgery, it was only a matter of time that the laparoscopic surgery which started with laparoscopic cholecystectomy

in 1987 entered the realm of inguinal hernia surgery too. Prospective Randomized Controlled studies between laparoscopic inguinal herniorrhaphy

and tension free open mesh herniorrhaphy and furthermore

between laparoscopic TAPP repair and lichtenstein repair are very limited in number. There is need therefore to study the different aspects of two

types of repairs in terms of operation time, intraoperative and post operative complications, difference in pain and return to work and short term

follow up. The present study is being undertaken to evaluate this aspects..

Materials & Methods: A prospective study was carried out on 50 patients presented to the surgical OPD of tertiary care teaching hospital in

Mumbai between June 2013 to May 2015 with Inguinal Hernia. After taking complete history a thorough clinical examination done & required

investigations performed. Patients were then randomised into two groups 25 Patients in group A underwent laparoscopic procedure and 25 patients

group B underwent open (Lichtenstien) surgery.

All the post procedure ndings were recorded under specic parameters.

Results & Conclusions: Based on results of our study and interpreting it in the context of available literature on the subject we reached the

following conclusions There is no signicant difference in operative and postoperative complications between the laparoscopic and open

Lichtenstein hernia group.