Evaluation of Laparoscopic Hernioplasty in Groin Hernia
HOSAM ELGHADBANZagazig University Medical Journal
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Abstract
Background:laparoscopic groin hernia repair has gained wide popularity in surgical practice in the last two decades. Trans abdominal pre peritoneal (TAPP) and totally extra peritoneal (TEP) repair are standing head to head as the most common laparoscopic techniques for groin hernia. Methods:This prospective randomized study was conducted between December 2013 and December 2015. Sixty male patients suffering from non complicated inguinal hernia were included. Patients were randomized into group A (TAPP) and group B (TEP). Intra operative variables and postoperative pain and complications were recorded in a pre structured form Results:In TEP group patient had lees post operative pain, were able to resume their normal daily activities and spent less operative time than TAPP group. No significant difference in terms of Intra operative and post operative complications between both groups. Conclusion:. TEP has a significant advantages over TAPP in reduction of operative time and postoperative pain, which resulted in earlier recovery and return to normal activity. Although both techniques seem to effective, TEP has a step over TAPP.
Key takeaways
- (2,3) Laparoscopic approach for groin hernia was evolved including two main techniques TAPP and TEP.
- RESULTS Sixty consecutive male patients with uncomplicated inguinal hernia were prospectively randomized into two groups: group A was trans abdominal pre peritoneal (TAPP) and group B was totally extra peritoneal (TEP).
- So the mean operative time was significantly more in TAPP group when compared with the TEP group ( p= 0.010).
- Krishna etal., (7) shared the same opinion as post operative pain in TAPP patients was higher than those in TEP group with significant P value (0.0001).
- Krishna etal., (7) reported that patients underwent TEP expressed more satisfaction as regard post operative pain and hence time to return to normal activity than patients underwent TAPP and the difference was statistically highly significant ( P = 0.002 ).
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Medical Journal of Shree Birendra Hospital
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Laparoscopic approach for the treatment of chronic groin pain after inguinal hernia repair : Laparoscopic approach for inguinodynia
Surgical endoscopy, 2017
Traditional methods of clinical research may not be adequate to improve the value of care for patients with complex medical problems such as chronic pain after inguinal hernia repair. This problem is very complex with many potential factors contributing to the development of this complication. We have implemented a clinical quality improvement (CQI) effort in an attempt to better measure and improve outcomes for patients suffering with chronic groin pain (inguinodynia) after inguinal hernia repair. Between April 2011 and June 2016, there were 93 patients who underwent 94 operations in an attempt to relieve pain (1 patient had two separate unilateral procedures). Patients who had prior laparoscopic inguinal hernia repair (26) had their procedure completed laparoscopically. Patients who had open inguinal hernia repair (68) had a combination of a laparoscopic and open procedure in an attempt to relieve pain. Initiatives to attempt to improve measurement and outcomes during this period ...
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Hernia, 2008
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Prospective evaluation of 6895 groin hernia repairs in women
British Journal of Surgery, 2005
Background: Although 8 per cent of groin hernia repairs are performed in women, there is little published literature relating specifically to women. This study compared differences in outcome between women and men after groin hernia repair.
A comparative study between Total Extra-Peritoneal (TEP) repair and Trans Abdominal Pre-Peritoneal (TAPP) repair in management of inguinal hernia
National Journal of Medical Research, 2015
Background: Groin hernias are the most common conditions referred to surgeons all over the world and over five lakh hernia repairs are performed annually. Our purpose in this study is to compare the results of laparoscopic hernioplasty by Total Extra-Peritoneal (TEP) technique and laparoscopic Trans Abdominal Pre-Peritoneal (TAPP) technique. This was the prospective study conducted on cases of inguinal hernia in which half cases were operated by Laparoscopic Trans Abdominal Pre-Peritoneal (TAPP) mesh repair while other half were treated by Total Extra-Peritoneal (TEP) mesh repair of inguinal hernia in New Civil Hospital, Surat. All the patients were admitted and a detailed history and clinical examination were carried out as per written proforma. Results: This comparative study consisted of 60 patients. The most common diagnosis was right indirect inguinal hernia followed by left direct inguinal hernia in the both the groups. Overall the TEP was far better procedure compared to TAPP. The indicators like mean operative, Post-op pain, post-op hospital stay (in days) and return to normal work (in days) were far better than TAPP. Our study supports the view that laparoscopic TEP and TAPP mesh repair of inguinal hernia is safe and efficacious, but long term Randomized Control Trials with enhanced sample size and reduced confounding factors are still required to establish the absolute superiority of TEP over TAPP.
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