LAPAROSCOPIC TRANS-ABDOMINAL PREPERITONEAL VERSUS LICHTENSTEIN REPAIR OF INGUINAL HERNIA: A COMPARATIVE STUDY.

摘要

To compare Laparoscopic transabdominal preperitoneal (TAPP) to openLichtenstein inguinal hernia repair for operation time, acute postoperative pain, complications,hospital stay, time to return to work to find out which has better outcome. Study Design: Aprospective randomised controlled trial. Setting: QAMC/BVH Bahawalpur; Pakistan. Period:July 2017 to June 2018. Materials and Methods: It included 50 patients, 32 in Lichtensteingroup and 18 in TAPP group above the age of 18 years. Operation time, acute postoperativepain, complications, hospital stay, time to return to work were compared in two groups. Dataanalysis was done on SPSS 23 version. Results: Mean age of patients were 45±9.79 and44.95±9.82 in Lichtenstein and laparoscopic group, 96% were male. Operation time was37.96±13.66 vs. 48.77±9.99 (Min), hospital stay 2.28±0.79 vs.1.55±0.63 (Days), time to returnto work 13.20±4.75 vs.10.47±3.59 (Days) in Lichtenstein and laparoscopic group respectively.Pain score was 6.1±1.9 vs. 5.2±0.94 in Lichtenstein and laparoscopic group. In immediatecomplications haematoma 6.25% vs. 0%, seroma 3.12% vs. 11.11%, wound infection 9.37%vs.5.55%, visceral injury 0% vs. 5.5% in Lichtenstein to laparoscopic group respectively. In longterm complications chronic pain 28.12% vs.11.11%, recurrence 3.12% vs.0%, port site hernia0% vs. 5.55%, numbness 9.37% vs. 0% in Lichtenstein and Laparoscopic group respectively.Mortality was nil in both groups. Conclusion: Although there is insignificant difference incomplication rate, Laparoscopic hernia repair is better than Lichtenstein repair in terms of lesspostoperative pain, less hospital stay and early return to work.