Laparoscopic Inguinal Hernia Repair by Transabdominal Preperitoneal Mesh Hernioplasty (TAPP), A Prospective Study

Abstract

Background: Hernia is not a disease of modern society; its occurrence was found during early 16th century and it was recognized as a surgical disease by Praxagoras of Kos because of its demand for some sort of life-saving treatment. In general, hernia is described as a protrusion of contents of abdominal cavity through a weakness or opening in the abdominal muscle wall. Laparoscopic hernia repair has emerged as an effective alternative method for treating inguinal hernias. It has several significant advantages over the tension-free open repair now in use. In this report we summarize our laparoscopic hernia repair results and Recommendations. Method: The study was conducted in the Department of General Surgery, Geetanjali Medical College, Udaipur, from November 2017 to November 2019. It was a prospective, observational study on the patients of uncomplicated inguinal hernias who underwent an elective laparoscopic inguinal hernia repair. The following data was collected prospectively: age, sex, duration of surgery, intra-operative complications, postoperative pain, postoperative complications, hospital stay and recurrence. Results: A total 30 patients were operated during study period and total number of hernia repair were 36, with their ages renged from 22 to 80 year with mean age of 52.6year. All patents were male.The average duration of operation was 55.33 ± 17.02minutes. The average length of hospital stay was 3.06day. The main complication in our study were postoperative seroma formation. One patient required conversion to open with zero recurrence till date. Conclusion: Laparoscopic TAPP hernia repair has proven to be an efficient method for the treatment of groin hernias at our institution.