Volume : 6, Issue : 11, November - 2017

LAPAROSCOPIC TEP VS. MODIFIED LICHTENSTEIN FOR BILATERAL INGUINAL HERNIA REPAIR- A COMPARATIVE STUDY

Manoj Kumar, Adil A Kalam

Abstract :

<p>&nbsp;<i><span style="font-family:&quot;Arial&quot;,&quot;sans-serif&quot;">Background: </span></i><span style="font-family: Arial, sans-serif;">Lichtensteins mesh hernioplasty continues to be the common modality for management of bilateral inguinal hernia even after the advent of lap surgery. This study compares the clinical outcomes of laparoscopic total extra peritoneal hernioplasty (Lap TEP) and sequential bilateral modified Lichtenstein&rsquo;s repair in the same setting for management of bilateral inguinal hernias.</span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt"><span style="font-family:&quot;Arial&quot;,&quot;sans-serif&quot;">&nbsp;</span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt"><i><span style="font-family:&quot;Arial&quot;,&quot;sans-serif&quot;">Methods</span></i><span style="font-family:&quot;Arial&quot;,&quot;sans-serif&quot;">: Sixty patients each, who underwent Lap TEP or simultaneous bilateral modified Lichtenstein&rsquo;s repair at a tertiary care teaching hospital, were assessed and systematically followed up at regular intervals up to one year and compared in the terms of time taken for surgery and post op morbidities &amp; complications including early recurrence if any.<o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt"><span style="font-family:&quot;Arial&quot;,&quot;sans-serif&quot;">.<o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:&#10;justify"><i><span style="font-family:&quot;Arial&quot;,&quot;sans-serif&quot;">Results: </span></i><span style="font-family:&quot;Arial&quot;,&quot;sans-serif&quot;">Data analysis in both the groups with comparable age, showed a lesser operating time, blood loss and more surface area of the posterior wall reinforcement with prosthesis for Lap TEP repair. Postoperative morbidity in terms of requirement of more post-operative analgesia, increased postoperative VAS score, delay in ambulation and increased duration of hospital stay was seen in the modified Lichtenstein&rsquo;s repair group.<o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:&#10;justify"><span style="font-family:&quot;Arial&quot;,&quot;sans-serif&quot;">&nbsp;</span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:&#10;justify"><i><span style="font-family:&quot;Arial&quot;,&quot;sans-serif&quot;">Conclusion:</span></i><span style="font-family:&quot;Arial&quot;,&quot;sans-serif&quot;"> The present study reveals that Lap TEP is superior to sequential modified bilateral mesh hernioplasty done on the same settingin terms of early postoperative outcomes.<o:p></o:p></span></p>