Short-term Results of Laparoscopic Transabdominal Preperitoneal Inguinal Hernioplasty in a Developing Country
Tanweer Karim, Vivek K Katiyar, Rabishankar Singh, Subhajeet Dey
Citation Information :
Karim T, Katiyar VK, Singh R, Dey S. Short-term Results of Laparoscopic Transabdominal Preperitoneal Inguinal Hernioplasty in a Developing Country. World J Lap Surg 2017; 10 (3):83-86.
Introduction: Inguinal hernias have plagued mankind for its upright gait since evolution. Around 16% of the patients presenting to surgery outpatient department have inguinal hernias. Various procedures like the use of patients\' own tissues or prosthetic meshes have been used in the past to repair inguinal hernia with varying degrees of success. Laparoscopic hernioplasty is the latest technique with several advantages over open procedures like reduced postoperative pain and shorter recovery period. However, steeper learning curve and cost of the procedure have been cited as limiting factor.
Aim: To study the outcome of laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair in terms of operating time, postoperative pain, wound complications, and recurrence.
Materials and methods: This is an analysis of patients that underwent TAPP inguinal hernia repair, from January 2013 to May 2015. Case records of 90 patients between 18 and 60 years that underwent TAPP by a single surgical team were followed prospectively. Data regarding operative time, complications, immediate postoperative pain, chronic groin pain, recurrence, and sensory disturbance were recorded and evaluated.
Results: All the patients were males aged from 18 to 60 years. Mean operative time was 60 minutes (40–120 minutes). Postoperative pain as assessed by visual analog scale (VAS) 6 hours after has been low (mean: 2). Chronic pain occurred in 2 patients (2.22%), but that has not affected routine work or mobility.
Conclusion: Short-term results of TAPP hernia repair using mesh demonstrated to be an effective and safe procedure with low prevalence of chronic pain that was generally of a mild, infrequent nature. Intraoperative bleeding and use of postoperative analgesia were considerably less. There was no incidence of early recurrence. Learning curve is not so steep as claimed, and considering advantages, the cost of the procedure should not be a limiting factor even in a developing country.
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