Transabdominal Preperitoneal Patch Plasty versus Open Lichtenstein Hernia Repair – A Study

Abstract

A study to compare the outcomes of laparoscopic transabdominal preperitoneal patch plasty (TAPP) and open Lichtenstein repair in the management of inguinal hernia was carried out at the Department of Surgery, SKIMS Medical College, Bemina, Srinagar, Kashmir, India, from June 2017 to December 2018. Sixty patients with inguinal hernia were enrolled in the study. It was a type of non-randomized prospective cohort study, wherein 30 patients were treated with TAPP and 30 with open Lichtenstein repair. Patients were studied since admission till discharge and followed for 2 years in the outpatient department. Mean operation time in TAPP was higher than the Open Lichtenstein Repair, but the overall complications were higher in the latter. Patients with inguinal hernias who underwent repair by TAPP approach had significantly better post-operative courses than those who undergo open Lichtenstein repair.