Comparison of Laparoscopic Total Extraperitoneal (TEP) Repair and Transabdominal Peritoneal (TAPP) repair of Inguinal Hernia
Abstract
Introduction: The study compares the outcomes of laparoscopic total extraperitoneal (TEP) and transabdominal preperitoneal (TAPP) repair of inguinal hernia, focusing on operative time, post-operative pain, and hospital stay, following widespread use of laparoscopy.
Methods: The study design employed for this research was a Comparative Observational RCT. A total of 62 patients with inguinal hernia, 25 to 65 years of age of both genders were included. Patients with irreducible hernia, strangulated hernia, obstructed hernia, recurrent hernia, radiation to pelvic tumors and previous history of gut surgery were excluded. Group A included the cases in which TEP repair was done while group B included the cases in which TAPP repair was done. Operative time in both groups was noted. All the patients were followed by the researchers.
Results: In this study, the mean operation time was 64.52 ± 7.58 minutes for TEP repair versus 87.35 ± 3.77 minutes for TAPP repair (p-value = 0.0001). Mean duration of hospital stay for patients in TEP repair group was significantly shorter when compared to TAPP repair group (9.70 ± 2.15 versus 21.90 ± 6.91 hours) which was statistically significant (p = 0.0001). Mean post-operative pain was 1.68 ± 1.08 for TEP repair versus3.32 ± 1.45 for TAPP repair (p-value = 0.0001).
Conclusion: This study concluded that operative time, post-operative pain and hospital stay is less after laparoscopic total extraperitoneal (TEP) repair of inguinal hernia as compared to transabdominal preperitoneal (TAPP) repair.
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