Publication:

Laparoscopic inguinal hernia repair: a prospective study of 120 cases

Background Inguinal hernias have been treated traditionally with open methods of hernioplasty. But the trends have changed in last 2 decades with the introduction of laparoscopic inguinal hernia repair by transabdominal preperitoneal (TAPP) and total extra preperitoneal (TEP) surgery.

Methods The study was prospective type conducted from January 2010 to April 2018. 130 patients, who underwent laparoscopic inguinal hernia repair. 60 patients for TAPP and 60 patients for TEP. Preoperative, intraoperative, postoperative and follow up data was analysed.

Results From 130 patients,10 patient underwent open hernia repair due to anaesthetics reason. 93.3% primary hernias and 6.7% recurrent hernias. 50% was repaired by TEP and 50% by TAPP. Mean time taken for surgeries was 60-90 min. The intraoperative, postoperative complications rates were 1.2% and 7.4% respectively. Mean hospital stay was 1-5 days.

Conclusions laparoscopic inguinal hernia repair could be contemplated safely both via totally extra peritoneal as well as transperitoneal route even in our setup of developing country with modifications.