Abstract
OBJECTIVES: To evaluate the safety and complications of the Laparoscopic Total Extra Peritoneal Procedure (LAP TEP) versus Lichtenstein's repair for Inguinal Hernia. Design: Prospective comparative study of 70 patients in the age group 18-80yrs with inguinal hernia. Setting: department of surgery, NKPSIMS & R.C. & Lata Mangeshkar Hospital, Hingna, Digdoh Hills, Nagpur from April 2012 to March 2014. Result: Mean age of patients in laparoscopy TEP repair were 49.40±17.88 & in open were 49.85±16.05 (p value 0.638). The mean time of surgery was higher in the laparoscopic group (1.42 ± 0.015) as compared to the open group (0.49 ± 0.01), this is due to the learning curve. A significant percentage of patients in the open group had fever due to wound infection this could be explained by the fact that most of the cases in the open group were done by residents. A higher incidence of cord edema was seen in the laparoscopic group (52%) as compared to the open group (11%), this may be due to the increased cord handling during the procedure. A higher incidence of haematoma was also seen in the laparoscopic group (20%) this again may be due to the learning curve and increased handling in the initial cases. Conclusion: laparoscopic hernia repair though being superior in terms of less pain and early return to active work is more expensive and requires specialised training. Laparoscopy is not a gold standard but in selected cases and in the hands of expert it is an excellent procedure.
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