TEP versus TAPP: comparison of the perioperative outcome in 200 patients with a primary unilateral inguinal hernia

Dr Mayank Devangan; Dr Niraj Srivastava; Dr Brajendra Kumar

Volume : VI, Issue : V, May - 2017

TEP versus TAPP: comparison of the perioperative outcome in 200 patients with a primary unilateral inguinal hernia

Dr Mayank Devangan, Dr Niraj Srivastava, Dr Brajendra Kumar

Abstract :

A total of 200 patients were enrolled prospectively between September 1, 2013, and April 15, 2016, in RIMS,RAIPUR. Of these patients,61.9% had a TAPP and 38.1% a TEP repair. The dependent variables were intra– and postoperative complication rates, number of reoperations as well as absolute and relative frequencies. The results of unadjusted analyses were verified via multivariable analyses.Multivariable analysis verified the results of unadjusted analysis, indicating that the surgical technique did not have any significant impact, also while taking account of other factors, on occurrence of intraoperative [p=0.1648; OR=1.214 (0.923; 1.596)] and general postoperative complications [p=0.0738; OR=1.315 (0.974; 1.775)]. Postoperative surgical complications [OR=2.323 (1.882; 2.866); p<0.0001] were noted more often after TAPP. Furthermore, the hernia defect size [p<0.0001; I vs III: OR=0.439 (0.313; 0.615), II vs III: OR=0.712 (0.582; 0.872)] or scrotal [p<0.0001; OR=2.170 (1.501; 3.137)] hernia and age [p=0.0002; 10–year OR=1.135 (1.062; 1.213)] had a significant impact on the occurrence of postoperative complications. Complications were observed more commonly for larger hernia defects and a scrotal hernia. However, the difference in the postoperative complication rate between TEP and TAPP did not result in any difference in the reoperation rate (TEP 0.82% vs TAPP 0.90%; p=0.6165).The intraoperative and general postoperative complication rates as well as the reoperation rate for complications show no significant difference between TEP and TAPP.