A Study to Compare Postoperatively Clinical Outcome in Laparoscopic Total Extraperitoneal Vs Lichtenstein Mesh Hernioplasty in Inguinal Hernia

Introduction: A detailed study of 30 cases was conducted in Mahatma Gandhi medical college and hospital, Jaipur, Rajasthan, India. We randomly assigned 30 patient to TEP (group A) or Lichtenstein mesh repair (group B) of inguinal hernia. The patients were followed up by physical examination at 6 month. Aim: To compare post operatively clinical outcome& return to normal and full activity and complication in laparoscopic total extra peritoneal vs Lichtenstein tension free mesh repair in inguinal hernia. Objectives: To study severity of post operatively pain using visual analogue, readiness for discharge from hospital, days required to return to normal activity, To study rate of complication after each procedure. Method: A Prospective clinical hospital based study was done in 30 patients. Inclusion criteria: patients diagnosed of having inguinal hernia admitted for undergoing elective mesh hernioplasty, Exclusion criteria: A. recurrent hernia, B. complicated hernia, C. congenital hernia, D. ASA grade iii and above, E. laparoscopic procedure failure. Result: In our study 15 people operated TEP were allotted group A and another operated with Lichtenstein tension free mesh hernioplasty were taken into another group B. out of 15 patients of TEP 5 were bilateral and 10 were unilateral out of which 6 were rt. sided and 4 were lt. sided. In my study patients in TEP group had significantly lesser hospital stay and light work earlier and felt comfortable in resuming full work activities as compare to LMR group. Discussion: Several study has been done on comparison between open and laparoscopic repair of inguinal hernia. In this study we restricted only to postoperatively outcome undergoing TEP and LMR. In our study overall pain score were lower in TEP, and hospital stay was significant lower, and time taken to return to work to be significantly short in TEP, and post op complication were higher in LMR. There were no cases of recurrence in both groups during period of study.