Arsalan Ahmad, Shahzad Alam Shah, Abubaker Shafique, Naeem Shahzad.
Comparison of Postoperative Outcomes of Open Lichtenstein and Laparoscopic Transabdominal Preperitoneal Repair for Uncomplicated Unilateral Inguinal Hernia.
J Sharif Med Dent Coll Jan ;08(1):35-9.

Objective: To compare the postoperative outcomes following open Lichtenstein's mesh repair and laparoscopic transabdominal preperitoneal (TAPP) repair for unilateral uncomplicated inguinal hernia. Methodology: It was a quasi-experimental study conducted at Sir Ganga Ram Hospital, Lahore from January to December 2021. A total of 88 patients were recruited with the non-probability consecutive sampling technique. Patients were divided into two groups. Patients in group A were operated by TAPP repair and group B was treated with Lichtenstein's mesh repair. The efficacies of both procedures were compared in terms of postoperative pain, hospital stay, operative time, seroma formation, infection, and recurrence. Results: The mean ages of the patients in TAPP and Lichtenstein groups were 31.90+/-18.18 and 33.40+/-15.04 years, respectively. The majority of patients (62.5%) had a right-sided hernia. The mean operative time in the TAPP group was prolonged (76.4+/-13.1 min) as compared to the Lichtenstein group (56.4+/-11.3 min). The postoperative pain score at 8 hours in the TAPP group was 3.21+/-1.23 and in the Lichtenstein group, it was 4.84+/-1.41. The duration of hospital stay for the TAPP group was less as compared to Lichtenstein group (p-value <0.001). The majority of wound infections 4(4.55%) occurred in the Lichtenstein group. However, the incidence of seroma formation with scrotal edema was slightly higher in the TAPP group [10(11.35%)]. Conclusion: Transabdominal preperitoneal (TAPP) repair is more effective in terms of less pain, early recovery, and less seroma formation. However, the operative time was longer in TAPP group patients as compared to the Lichtenstein procedure. Keywords: Inguinal hernia. Open hernioplasty. Laparoscopic hernioplasty.

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