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  3. 14.Inguinal Hernia: Compare the Laparoscopic Trans-Abdominal Pre-Peritoneal Hernioplasty with the Gold Standard Open Tension-Free Lichtenstein’s Hernioplasty
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14.Inguinal Hernia: Compare the Laparoscopic Trans-Abdominal Pre-Peritoneal Hernioplasty with the Gold Standard Open Tension-Free Lichtenstein’s Hernioplasty

Rahmat Ullah Shah1, Sadia Shah2, Gul Sharif1, Adnan Badar3, Haroon Muhammad1 and Shabir Ahmad1

ABSTRACT

Objective: To compare laparoscopic trans-abdominal pre-peritoneal hernioplasty with open Lichtenstein’s hernioplasty.

Study Design: Prospective study

Place and Duration of Study: This study was conducted at the Department of Surgery, MTI, Lady Reading Hospital, Peshawar from 1st January 2019 to 31st December, 2019.

Materials and Methods: Seventy patients with primary, unilateral inguinal hernia which were randomly divided into two equal groups. Group-A patients had laparoscopic trans-abdominal pre-peritoneal repair while Group-B patients underwent open Lichtenstein’s repair. Both groups were compared for mean operative time, intra- & post-operative complications including pain & development of recurrent hernia, in-hospital stay and time taken to resume daily activities.

Results: The mean taken time for repair was greater in laparoscopic trans-abdominal pre-peritoneal (72.4±6.09 minutes) than Lichtenstein’s repair (53±6.97 minutes) (p-value<0.001). Postoperative complications, such as wound infections, seroma formation and urinary retention were more common in Lichtenstein’s group. The mean pain score was significantly less for laparoscopic trans-abdominal pre-peritoneal hernioplasty than Lichtenstein’s group especially on post-operative day 7 (p-value<0.001). The mean in-hospital stay was 2±1.5 days in both groups. The time taken to resume daily activities was shorter after laparoscopic trans-abdominal pre-peritoneal repair than Lichtenstein’s repair (p<0.001).

Conclusion: Though mean operative time was more in laparoscopic trans-abdominal pre-peritoneal repair, there were no significant difference in complications rate, but patients who underwent trans-abdominal pre-peritoneal repair had significantly less post-operative pain with shorter in-hospital stay and resume their routine activities earlier when compared to Lichtenstein’s group.

Key Words: Inguinal hernia, Laparoscopic trans-abdominal pre-peritoneal hernioplasty, Lichtenstein tension-free hernioplasty

Citation of article: Shah R, Shah S, Sharif G, Badar A, Muhammad H, Ahmad S. Inguinal Hernia: Compare the Laparoscopic Trans-Abdominal Pre-Peritoneal Hernioplasty with the Gold Standard Open Tension-Free Lichtenstein’s Hernioplasty. Med Forum 2021;32(8):60-63.