Amna Moeen, Zahid Niaz, Syed Javed Raza Gardazi.
Comparison of Laparoscopic hernia repair (TEP) with Lichtenstein repair for inguinal hernias.
Ann King Edward Med Uni Jan ;13(1):29-31.

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 31` May 2006. Total no of patients in the study were 63.Ptients 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.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com