Comparison of Common Postoperative Complications Between Lichtenstein Open Repair and Laparoscopic Transabdominal Pre-peritoneal (TAPP) Repair for Unilateral Inguinal Hernia

Abstract

IntroductionLaparoscopic transabdominal pre-peritoneal (TAPP) repair is a minimally invasive technique that is becoming the procedure of choice among surgeons for inguinal hernia repair and research work is still going on comparing TAPP repair with Lichtenstein open mesh repair. The objective of our study is to compare common postoperative complications in Lichtenstein mesh repair and laparoscopic TAPP repair for unilateral inguinal hernia in our unit. MethodsBetween August 2016 and August 2018, patients with unilateral inguinal hernia and ASA grade I/II were selected in the surgical outpatient department (OPD) and prospectively randomized into two equal groups. Lichtenstein open mesh repair was done in Group-I and laparoscopic TAPP repair in Group-II. The visual analog scale (VAS) was used for the assessment of the intensity of pain. ResultsA total of 100 patients with a diagnosis of unilateral inguinal hernia were included in the study. Overall, our study showed that there was less postoperative pain in those patients who underwent TAPP repair as compared to patients with Lichtenstein mesh repair (p= <0.05). There were more postoperative complications in Group-I as compared to Group-II. ConclusionLaparoscopic TAPP repair for inguinal hernia is associated with less postoperative pain and other postoperative complications in addition to a shorter hospital stay as compared to Lichtenstein mesh repair. Thus, this is helping in the early return of patients to daily life activities.

Einsatz einer stützenden Herrenunterhose bei elektiven skrotalen Eingriffen

“…In unserem Fall bezog sich diese Beobachtung insbesondere auf die inguinalen Eingriffe mit Ablatio testis. Im Vergleich treten auch bei inguinalen Hernienoperationen in bis zu 32 % der Fälle Komplikationen auf [ 12 ].…”

“…Bei Patienten, welche eine postoperative Komplikation erlitten, wurden Einschränkungen in Bezug auf die Lebensqualität beobachtet. Das Auftreten von Komplikationen beeinflusste das subjektive Empfinden von Gesundheit 4 Wochen nach der Operation signifikant (EQ5D-VAS: 72,14 [18,2] vs. 86,13 [12,9], p = 0,026;…”

Comparison of modified tumescent and conventional laparoscopic transabdominal preperitoneal inguinal hernia repair: a retrospective clinical study

“…Notably, about half of these complications (2.2%) were specifically associated with the peritoneal dissection phase of the operation. 23–26…”

Artificial Intelligence Assisted Recognition of Anatomical Landmarks and Laparoscopic Instruments in Transabdominal Preperitoneal Inguinal Hernia Repair

“…It offers some advantages over traditional open hernia repair, including smaller incisions, quicker recovery, and potentially less risk of infection. 4 It is important to note that the suitability of the laparoscopic TAPP procedure depends on various factors, including the size and type of the hernia and the patient's overall health. 5 Laparoscopic TAPP has a high learning curve as at least 50 procedures are necessary to reduce complication rates and more than 100 procedures are needed to achieve similar results with open mesh repair.…”

“…It offers some advantages over traditional open hernia repair, including smaller incisions, quicker recovery, and potentially less risk of infection. 4 It is important to note that the suitability of the laparoscopic TAPP procedure depends on various factors, including the size and type of the hernia and the patient’s overall health. 5…”