Surgical sequale of transabdominal preperitoneal approach versus Lichtenstein open repair in a rural setting


  • Chanthu C. Nair Department of General Surgery, Vinayaka Mission and Hospital, Salem, India
  • Karthikeyan E. M. J. Department of General Surgery, Vinayaka Mission and Hospital, Salem, India
  • Dhyaneshwaran K. V. Department of General Surgery, Vinayaka Mission and Hospital, Salem, India
  • Nivash Selvaraj Department of General Surgery, Vinayaka Mission and Hospital, Salem, India



Hernia, Laparoscopic repair, Open repair


Background: The objective was to compare the outcomes perioperative outcomes of transabdominal preperitoneal approach (TAPP) versus Lichtenstein tension (open) free repair for adult unilateral uncomplicated inguinal hernia patients (including both direct and indirect hernias).

Methods: The prospective study was conducted between July 2018 to August 2020. A total of 60 patients, 30 in the Lichtenstein tension free repair group and 30 in the TAPP repair group data were collected and analysed.

Results: The mean age was 55 in our study. On comparing open versus TAPP, significant difference of p value ≤0.05 was observed in terms of surgical site infections, time to discharge, time to return to work and mesh related pain in TAPP. Operative time was shorter in open group.

Conclusions: Laparoscopic transabdominal preperitoneal repair is a valid alternative to open traditional method with lesser morbidity to the patients.


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