Original Research Article
Year: 2017 | Month: December | Volume: 7 | Issue: 12 | Pages: 68-74
Laparoscopic Inguinal Hernia Repair (TAPP): Early and Medium-Term Results
Gurung KB1, Adhikari B2, Thapa GS3, Upadhyay P4
1Clinical faculty, Trinity school of medicine, Saint Vincent and the Grenadines; 2Consultant General Surgeon, Government of Nepal; 3Assistant Professor, Department of Surgery, 4Chief Consultant surgeon, Government of Nepal, Professor, Department of Surgery, National Academy of Medical Sciences (NAMS),
Bir Hospital, Kathmandu, Nepal, Director, National Trauma Center, NAMS, Kathmandu, Nepal
Corresponding Author: Komal B. Gurung
Background: Laparoscopic inguinal hernia surgery is becoming a routine surgery in most of the tertiary centers around the globe. The aim of this study was to investigate the intraoperative and postoperative outcome of laparoscopic inguinal hernia repair.
Patients and Method: All patients admitted for transabdominal preperitoneal inguinal hernia repair were prospectively documented for two years. Data collected included patient demographics, past medical history, previous surgeries. Intraoperative and postoperative variables were recorded in prestructured proforma.
Results: A total of 39 TAPP inguinal hernia repairs were performed in 31 patients, under the inclusion criteria, by a single surgeon during March 2014 to March 2015 A.D. None of the procedure required conversion to open. Port-site bleeding was reported in five patients and peritoneal tear occurred in eight repairs. The mean operative time for unilateral and bilateral TAPP repair was 65.5 ± 9.21 min (range, 55-90 min) and 87.0 ± 9.58 min (range, 75-110 min) respectively. One patient had cord hematoma. Two patients had skin ecchymosis. Five patients had scrotal edema. The average time to return to work or normal physical activity was six days and 10 days for unilateral and bilateral repairs respectively. Eight patients had inguinal discomfort or mild inguinal pain that lasted for two months. Follow-up rate after 18 months was 80.6%. There was no recurrence and chronic groin pain.
Conclusion: Laparoscopic hernia repair (TAPP) can be safely and routinely performed by general surgeons with low rates of complications.
Key words: Inguinal hernia, Laparoscopic inguinal hernia repair, TAPP.