Comparison of Laparoscopic Hernia Repair (TEP) with Lichtenstein Repair for Inguinal Hernias

Abstract

Introduction: The surgical treatment of inguinal hernia varies widely from Lichtenstein hernioplasty to Laparoscopic mesh repair (IPOM, TAPP, TEP) Aims and objectives: To compare the per-op difficulties like operating time, difficulties in dissection between open mesh repair and TEP. To compare the post-op results and complications between the two groups. Patient and methods: This is a prospective randomized study conducted at Services Hospital Lahore from 1st May 2005 to 31st May 2006. Total no of patients in the study were 63 .Patients were prospectively randomized in two groups. 34 patients underwent open mesh repair whereas 29 patients underwent TEP repair. Results: The post-op morbidity scores were significantly lower in the TEP group as compared with the open mesh repair group. However the recurrence rates were nil in either case. Conclusion: We conclude that for hernias the laparoscopic mesh hernioplasty is comparable to open mesh repair in terms of patient safety and recurrence rates but due to a long learning curve the mean operating time is double. This can be minimized by dedication, perseverance and devotion of the budding laparoscopic surgeon.