Abstract
Aims and Objective: Present study was conducted with objective to compare laparoscopic TAPP (Transabdominal preperitoneal) repair with open tension free repair with respect to operative time, complications, postoperative recovery. Materials and Methods: A comparative study was conducted in tertiary health care center from May 2012 to November 2014 and cases fulfilling inclusion criteria were included in study. 38 cases were operated in laparoscopic TAPP repair while 68 cases with open tension free repair and assessed for complications and postoperative recovery. Result: In the study operative time was higher for Laparoscopic TAPP repair (50 min Vs 30 min, p value <0.05), while post op complication were lower for TAPP repair (15.8 % Vs 16.2 %, p value <0.48) but difference was insignificant, chronic pain at 6 month is less for TAPP repair (0.18 Vs 1.48, p value <0.5) and time to return to normal activity was also lower for laparoscopic group (9.3 days Vs 13.8 days, p value< 0.5). Conclusion: Laparoscopic TAPP repair offers a significant advantage over open tension free hernioplasty. It was associated with less post operative pain, faster recovery and higher operative time due to learning curve with insignificant difference in early post operative complication. Thus, Laparoscopic TAPP repair should be considered for primary hernioplasty in view of lesser post operative pain and faster recovery.
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