EXPERIENCE OF 200 CASES OF TEP AT SURGICAL UNIT II, HOLY FAMILY HOSPITAL RAWALPINDI

摘要

OBJECTIVES: To evaluate the early results of total extra peritoneal laparoscopic inguinal hernia repair at the Surgical Unit II Holy FamilyHospital Rawalpindi,Pakistan.STUDY DESIGN: An interventional study.PLACE AND DURATION: At Surgical unit-II Holy Family Hospital Rawalpindi during the period between 1st January, 2010 to 30th May,2012.METHODOLOGY: Patients underwent total extra peritoneal laparoscopic inguinal hernia repair were included and all data eg, patientage, gender, side and type of hernia, intra-operative complications, conversion of the procedure to other type of repair, operativetime, postoperative pain, hospital stay, postoperative complications, chronic pain and recurrence were collected at evolution at theend of study.RESULTS: Out of the 200 patients, majority 99% were males. Age ranged between 18 and 65 years with a mean of 40 years. 120 (60%)hernia were indirect, 80 (40%) were direct and mean operative time was 61.3 minutes. Intra-operative complications occurred in 2%post-operative complications occurred in 16% of patients. Post operative pain was severe in 9% at 4 hours and in 2% at 4 hours. At 3months, 90% and at 6 month 95% of the patients had no pain. Chronic pain occurred in 6% of the patients. Recurrence occurred in 8(4%) patients.CONCLUSION: Our results in total extra peritoneal laparoscopic inguinal hernia repair were comparable to the results reported inliterature regarding complication rate and recurrence rate. Laparoscopic TEP repair is a safe procedure if done by a experiencedsurgeon