Comparison of laparoscopic (TAPP mesh repair) and open hernia repair: A prospective cross-sectional study.

Kritika  Jha; Piyush Kumar  Sinha; Pankaj Kumar  Mishra; Binoy  Kumar

doi:10.51168/sjhrafrica.v7i3.2601

Authors

Kritika Jha Senior resident, Department of General Surgery, Patna Medical College & Hospital, Patna, Bihar, India.
Piyush Kumar Sinha Senior resident, Department of General Surgery, Patna Medical College & Hospital, Patna, Bihar, India.
Pankaj Kumar Mishra Associate Professor, Department of General Surgery, Patna Medical Hospital, Patna, Bihar.
Binoy Kumar Professor (HOD), Department of General Surgery, Patna Medical College & Hospital, Patna, Bihar, India.

DOI:

https://doi.org/10.51168/sjhrafrica.v7i3.2601

Keywords:

Transabdominal preperitoneal repair, laparoscopy, hernia repair, hospitalisation, inguinal hernia

Abstract

Background:

Inguinal hernia repair is among the most frequently executed surgical interventions globally. Historically, open mesh repair has been the conventional method; however, laparoscopic procedures such as transabdominal preperitoneal (TAPP) repair have surged in popularity owing to their minimally invasive characteristics and potential for enhanced postoperative results. The selection between these methodologies is a subject of ongoing clinical assessment.

Objective:

To evaluate the clinical outcomes of laparoscopic tapp surgery against open hernia repair regarding postoperative pain, length of hospital stay, and complication rates.

Methods:

A prospective cross-sectional study was performed over six months, involving 98 patients diagnosed with inguinal hernia. Patients were categorised into two groups according to the surgical method: Laparoscopic tapp repair and open mesh repair. The primary outcome measures comprised postoperative pain evaluated via the visual analogue scale (VAS), duration of hospital stay, and occurrence of postoperative complications. Statistical analysis was conducted, with a p-value below 0.05 being statistically significant.

Results:

Patients who had TAPP surgery exhibited markedly reduced postoperative pain scores in comparison to those who underwent open repair (p = 0.001). The length of hospital stay was markedly reduced in the tapp group (p = 0.002), indicating expedited recovery and earlier mobilisation. The occurrence of postoperative problems, particularly wound-related difficulties, was reduced in the tapp group (p = 0.04), signifying enhanced safety and surgical results.

Conclusion:

Laparoscopic TAPP surgery provides enhanced postoperative results relative to open hernia repair, encompassing less pain, abbreviated hospitalisation, and a lower incidence of complications. It signifies a secure and efficient choice and may be regarded as the optimal method in facilities with sufficient experience.

Recommendation:

Laparoscopic TAPP repair is recommended in centers with adequate expertise and resources due to its superior postoperative outcomes.

Author Biography

Kritika Jha, Senior resident, Department of General Surgery, Patna Medical College & Hospital, Patna, Bihar, India.

is a senior resident in general surgery at PMCH, Patna, with an interest in laparoscopic surgery.

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