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Comparative Study between Unilateral Inguinal Hernia by Open Technique versus TAPP Repair

M.Sc.; Ragheb A. Ragheb Ahmed A. Basiouny, M.D. Ashraf E. Elsharkawy
The Medical Journal of Cairo University , Volume 88, pp 1673-1678; doi:10.21608/mjcu.2020.116261

Abstract: Background: Inguinal hernia repair is one of the most widely performed surgical procedure. Amongst the techniques used, the Open Lichtenstein Repair (OLR) is still the most widely performed. However, in the last decade there has been an increased interest in the laparoscopic approach for inguinal hernia repair, mainly represented as the Trans-Abdominal Pre-Peritoneal (TAPP) technique. As described in recent studies, TAPP approach entails the benefits of minimally invasive surgery, such as less pain and earlyrecovery. Aim of Study: This study aims to compare between lich-tenstein repair of inguinal hernia and transabdominal preperi-toneal repair of inguinal hernia (TAPP) as regard their hospital stay, post-operative complications and short-term recurrence. Patients and Methods: Our study was carried out on (40) male patients with inguinal hernia attendees Kobry El-Qobba Military and Alzahraa Hospital; Al-Azhar University between April 2019-Octoper 2019, 20 patients underwent laparoscopic Trans-Abdominal Pre-Peritoneal (TAPP) repair and 20 patients underwent open Lichtenstein repair. Results: In our study the mean operative time was (97.50 ±19.97) minute for TAPP, (70.30±19.55) minute for open Lichtenstein repair. None of our patients had intra-operative complications such as (vascular injury... etc). There was one patient with wound infection (5%) for TAPP repair versus two patients seroma (10%), one patient hematoma (5%) and one patient wound infection (5%) but the difference between both groups was statistically insignificant. There was no significant difference in terms of hernia recurrence. This study confirmed less post-operative pain day 0, day 1 and day 7 post-operatively. There was no significant difference in 1 and 6 month post-operatively. Conclusion: Our study showed that laparoscopic TAPP approach for inguinal hernia repair is safe and reduces early post-operative pain. Furthermore, it is related to less compli-cations. Significantly although it takes a longer operative time.
Keywords: laparoscopic / Tapp Repair / Tapp Approach / approach for inguinal hernia repair

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