Totally Extra Peritoneal Management of Inguinal Hernia Repair: Our Experience in a Public Sector Hospital

  • Hira Saleem Department of Surgery, Benazir Bhutto Hospital, Rawalpindi
  • Aurangzeb Khan
  • Huma Sabir Khan Rawalpindi Medical University
  • Nazan Hassan
  • Naveed Akhtar Malik Department of Surgery, Benazir Bhutto Hospital, Rawalpindi Medical University, Rawalpindi
  • Muhammad Hanif
Keywords: laparoscopic, TEP, recurrent inguinal hernia, post-operative complications

Abstract

Objective:

The study objective is to analyze the clinical effectiveness and efficiency of laparoscopic TEP in our set up and to determine its surgical outcomes regarding incidence of early and late post-operative complications.

 Materials and Methods: A retrospective descriptive study was conducted at Surgical Unit II, Benazir Bhutto Hospital, Rawalpindi Medical University for 5 years and 6 months from January 2018 to June 2023. After approval from the ethical board, data was collected as a qualitative research study through focus group interviews. Adult patients aged between 20 to 70 years, selected by retrospective consecutive sampling who were presented in surgical OPD with unilateral, bilateral, or recurrent inguinal hernia, underwent laparoscopic TEP hernia repair. Patients were reviewed on 1st post-operative day, during 1st week, and at 6 months to 1 year post-surgery. Data was entered into a standard SPSS sheet version 26.

 Results: The primary outcomes were evaluated based on early postoperative complications including wound infection, seromas or hematoma, urinary retention and abscess formation or mesh infection, and late complications including recurrence and chronic pain. Clear advantages were observed for the laparoscopic TEP technique regarding early return to normal daily activities due to reduced postoperative complications.

Conclusions: The newer advanced concepts in hernia surgeries have proven to have good control over early complications, and postoperative pain, with minimal recurrence. Surgeons should acquire adequate experience and anatomical knowledge before performing this advanced inguinal repair surgery.

Author Biographies

Hira Saleem, Department of Surgery, Benazir Bhutto Hospital, Rawalpindi

Assistant Professor 

Department of Surgery

Aurangzeb Khan

Associate Professor 

Sargoda Medical College,Punjab (recent)

Ex: Rawalpindi Medical University (till September 2023)

Nazan Hassan

Senior Registrar

Surgical Unit II, Benazir Bhutto Hospital

Rawalpindi Medical University

Naveed Akhtar Malik, Department of Surgery, Benazir Bhutto Hospital, Rawalpindi Medical University, Rawalpindi

Head of department,  Professor of Surgery

Surgical Unit II

Benazir Bhutto Hospital

Rawalpindi Medical University

Muhammad Hanif

Consultant PAF Hospital

Ex Professor of Surgery

Rawalpindi Medical University (till Oct, 20222)

Published
2024-07-17
Section
Original Articles

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