20. Frequency of Groin Pain in Inguinal Hernia Repair By New Extended View Totally Extraperitoneal Technique Without Mesh Fixation
Muhammad Azim Khan1, Shaukat Ali2 and Allah Bukhsh Parhar3
ABSTRACT
Objective: The objective was to determine the frequency of severity of groin pain after inguinal hernia repair by e- TEP without mesh fixation.
Study Design: Descriptive case study
Place and Duration of Study: This study was conducted at the General Surgical Department of Nishtar Hospital Multan from 15 November, 2015 to 25 October 2016.
Materials and Methods: Total 350 patients of both genders with inguinal hernia with duration of complain >6 months were included in the study. Patients with Recurrent Hernia, Hypertension, DM, Previous intra-peritoneal intervention , ASA grade III and IV were excluded. In this technique we give a 12mm incision on the upper lateral quadrant of abdomen on the same side of hernia or on either side in the bilateral case. We expose the anterior aponeurosis and incise it creating the space over the posterior aponeurosis. Two additional 5-mm ports are created one at umbilicus other midway between this one and pubic tubercle. Thus with the help of scissors we obtained ample space of surgical area. This division was created with the help of laproscope from the lower most trocar, which allow proper dissection of the line of Douglas free from the underline peritoneum.
Results: The age range in our study was from 18-45 years with average age of 34.585+ 7.61 years and average duration of hernia was 8.450+ 1.91 months. Baseline pain score 4.680+ 1.02, height 1.571+ 0.11 meter, weight 73.84+ 13.76 and mean BMI was 28.668 + 3.11 kg/m2. Majority of the patients were from 31-40 years(42.1%). Male were 86.9%. 86.1% patients have right inguinal hernia. No pain was seen in 72.8%, mild pain in 22.4% and severe pain was seen in 4.8% patients.
Conclusion: It was concluded that most patients were asymptomatic after Laproscopic e-TEP. So e-TEP repair with no mesh fixation is safe and feasible for inguinal hernia, Key Words: Inguinal hernia, e-TEP hernia repair, Groin pain
Citation of article: Khan MA, Ali S, Parhar AB. Frequency of Groin Pain in Inguinal Hernia
Repair By New Extended View Totally Extraperitoneal Technique Without Mesh Fixation. Med Forum
2017;28(2):76-78.