Open versus Laparoscopic Mesh Repair of Inguinal Hernia
Keywords:TEP, Laparoscopic, Mesh Hernioplasty, Visual analogue scale.
Background- Inguinal hernia is the most common type of external abdominal hernia. Open Lichtenstein
method or laparoscopic method can be employed to repair inguinal hernia. With the advent of laparoscopic
mesh hernioplasty. Its superiority over open mesh hernioplasty is debatable.
Method- This prospective study was done on 120 patients in the department of surgery of LLRM Medical
College Meerut, to evaluate the usefulness of laparoscopic mesh hernioplasty (TEP Technique) for
inguinal hernia repair versus conventional open mesh hernioplasty (Lichtenstein Technique) in terms of
complications, pain and recurrence. Equal number of subjects was put in two groups; open mesh repair
group and laparoscopic mesh repair group.
Results-The mean age of the patients of inguinal hernia including both groups was 50 years. The mean
operation time of Laparoscopic TEP mesh hernioplasty was 71.33 minutes while that of Open Lichtenstein
repair was 36.33 minutes. Postoperative analgesic requirement was significantly lower in the patients
operated by TEP technique as compared with patients treated by Open Lichtenstein’s technique.. In TEP
group, two patients develops neuralgia, one patient developed fever, 1 patient developed hematoma, where
as in the open group there were 3 cases of neuralgia , 3 cases had fever.
Conclusion- Laparoscopic mesh hernioplasty using TEP technique is a novel technique with its share of
advantages and disadvantages. There are potential benefits of laparoscopic repair for inguinal hernias in
terms of post-operative pain, hospital stay and post operative complications. We recommend that a surgeon
should use this laparoscopic technique for hernia repair after knowing all the pros and cons of the technique,
his expertise for the technique and the infrastructure available.