Laparoscopic transabdominal preperitoneal repair versus open mesh repair for inguinal herniaLaparoscopic transabdominal preperitoneal repair versus open mesh repair for inguinal hernia

Hamza, Hossam Mohamed; Abdelrhman, Asaad; Abdelkader, Amr; Mohamed, Youssef; Metwally, Ashraf M

doi:10.21608/mjmr.2024.313753.1791

Laparoscopic transabdominal preperitoneal repair versus open mesh repair for inguinal herniaLaparoscopic transabdominal preperitoneal repair versus open mesh repair for inguinal hernia

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Document Type : Original Article

Authors

¹ General surgery department, Faculty of Medicine, Minia University Minia Egypt

² Egypt, ElMinia university, faculty of medicine, surgery

³ general surgery Minia University

⁴ Department of surgery, faculty of medicine, Minia University, Minia , Egypt

⁵ general surgery department, faculty of medicine , Minia university

10.21608/mjmr.2024.313753.1791

Abstract

Background: Inguinal hernia repair is one of the most commonly performed general surgery operations. Throughout the years there have been many variations and advancements, including open and laparoscopic techniques.

Aim of Study: This prospective study compared the outcomes of two distinct surgical methods for inguinal hernia repair at Minia University Hospital laparoscopic transabdominal preperitoneal repair (TAPP) and open tension-free hernia repair.

Patients and Methods: The study was performed on 46 patients admitted to Minia University Hospital in the period from January 2023 to January 2024. The study included patients scheduled for elective hernia repair and was divided into two equal groups. The first group (group A) was operated by Laparoscopic TAPP repair, and the second group (group B) was operated by open tension-free mesh repair. Patients with uncomplicated hernias and men were included in the inclusion criteria.

Results: Post-operative After laparoscopic repair, the total time of hospital stay was decreased. Chronic inguinal pain is more prominent in open surgery (12.5%) than in laparoscopic repair(4.3%). The median number of cases who returned earlier to normal daily activity(within two days) was 22 (95.7%) in group A compared to 12 (52.2%) in group B.

Conclusion: Laparoscopic TAPP repair was statistically superior to open mesh repair for inguinal hernia regarding patient satisfaction, and comfort after the operation, however open tension-free mesh repair showed shorter operation time than laparoscopic repair, furthermore TAPP was better than open repair group regarding hospital stay, pain score, and early return to work.

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