A Hospital Based Comparative Study the Post Operative Pain, Duration of Procedure & Incidence of Complications Between Open Transinguinal Preperitoneal Hernia Repair and Lichenstein’s Hernia Repair

Abstract

Background: Inguinal hernias are present in 1.7% of the world population. The Trans Inguinal Preperitoneal (TIPP) Hernia Repair (using prolene mesh) resulted in greater patient comfort with reduced post operative pain and also decreases the number of complications and recurrence rate and that it can be recommended for all primary unilateral Inguinal Hernias. The aim of this study to compare the post operative pain, duration of procedure & incidence of complications between transinguinal preperitoneal repair and lichtensteins repair procedures. Materials & Methods: A hospital based prospective study done 40 patients of inguinal hernias with ASA I or II, attending the district hospital Dholpur, in our surgical unit over a period 1 year. All cases were selected at random irrespective of the type of inguinal hernia, the age of the patient and the size of the defect. The material used for repair is monofilament polypropylene clear non absorbable synthetic knitted surgical mesh. About 20 cases of transinguinal pre peritoneal mesh repair & 20 cases of lichtensteins repair. Post operative pain, scrotal collection, seroma, cord oedema and wound infection were looked for they were asked to come for regular follow-up visit after discharge during each follow-up visit, the patients were assessed for pain, surgical site infection and recurrence.Results: The mean age of the patients subjected to lichenstein repair was 52.76 years and for TIPP it was 49.24yrs. The duration of operation was more in the TIIP group and was statistically significant (p < 0.05*). During the first follow up of patients at one month it was noticed that 20% of patients who underwent linchenstein repair had complications of SSI, cord edema, recurrence and pain. At second follow up it was noticed that only 2 patient who underwent LR had sensory loss. Occurrence of pain at 3 rd month between the lichenstein and TIPP repair is not statistically significant (p>0.05).Conclusion: We concluded that the transinguinal pre peritoneal mesh repair is an amazing simplistic technique which gives an approach to inguinal, femoral and obturator hernias and bears the same anatomical relationship in TEP and TAPP approaches which gives a better understanding of the TEP and TAPP procedures.