EVALUATION OF LAPAROSCOPIC HERNIOPLASTY IN GROIN HERNIA

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.