Comparison of outcomes of open hernioplasty- Lichtenstein versus laparoscopic trans abdominal preperitoneal mesh repair in patients with uncomplicated unilateral inguinal hernias
DOI:
https://doi.org/10.18203/2349-2902.isj20192375Keywords:
Inguinal hernia, Laparoscopic mesh repair, Lichtenstein tension free hernioplasty, Open hernioplasty, TAPPAbstract
Background: Inguinal mesh hernioplasty is one of the common procedures performed throughout the world. There are open and laparoscopic techniques of hernia repair. The laparoscopic approach to inguinal hernioplasty is now well established. The purpose of this study was to compare the outcomes of Lichtenstein tension free hernioplasty and laparoscopic TAPP (transabdominal preperitoneal mesh repair) considering these criterias, such as, duration of the surgery, hospital stay, and duration to resume normal activity, cosmesis, degree of postoperative pain, wound infection, recurrence and complications.
Methods: A prospective randomized study was conducted by comparing patients (two groups) who underwent laparoscopic (TAPP) and Lichtenstein Tension free open hernioplasty in SVMCH and RC from November 2016 to June 2017.
Results: Among the two groups of patients, depending on my criteria’s, namely, cosmesis (p-0.074) and postoperative cord edema (p-0.042), patients who underwent TAPP had statistically better outcomes than open hernioplasty.
Conclusions: My study concludes that laparoscopic TAPP repair is safe and efficacious and the analysis here states the absolute superiority of laparoscopic TAPP over Lichtenstein tension free hernioplasty.
References
Bailey & Love’s short practice of surgery. In: Williams NS, C. J. K. Bulstrode CJK, O'Connell PR, eds. 25th ed. Chapter 57. 2008: 968.
Shulman AG, Amid PK, Lichtenstein IL. A survey of non-expert surgeons using the open tension-free mesh patch repair for primary inguinal hernias. Int Surg. 1995;80:35-6.
Goepel R, Uber die verschliessung von bruchpforten durch einheilung geflocuhtener fertiger silberdrahtnetze Verh Deutsch Ges Chir. 1900;9:174-9.
Bassini E. Ueber de behandlung des listenbruches. Arch Klin Chir. 1890;40:429-76.
Adler RH. An evaluation of surgical mesh in the repair of hernias and tissue defects. Arch Surg. 1962;85:44.
Handley WS. A method for the radical cure of inguinal hernia (darn and stay-lace method) Practitioner. 1918;100:466-71.
Hope WW. Comparing Quality-of-Life outcomes in symptomatic patients undergoing Laparoscopic or Open ventral hernia repair. J Laproendosc Adv Surg Tech A. 2008;18(4):567-71.
Schwartz’s principles of surgery. In: Abdominal wall, omentum, mesentry, and retroperitoneum. 9th ed. New York: McGraw Hill publishers; 2010: 1273-1274.
Bassini E. Sulla cura radicale dell’ernia inguinale. Arch Soc Ital Chir. 1887;4:380.
Köckerling F. Surg Endosc TEP versus Lichtenstein: Which technique is better for the repair of primary unilateral inguinal hernias in men? 2016;30:3304.
Scheuermann U, Niebisch S, Lyros O, Jansen-Winkeln B, Gockel I. Transabdominal Preperitoneal (TAPP) versus Lichtenstein operation for primary inguinal hernia repair - A systematic review and meta-analysis of randomized controlled trials. BMC Surg. 2017;17(1):55.
Memon MA. Meta‐analysis of randomized clinical trials comparing open and laparoscopic inguinal hernia repair. Br J Surg. 2003;90:1479-92.
