This study is comperative study between TAPP And Lichtenstein Techniques for Inguinal Hernia surgery.The Lichtenstein tension-free open hernioplasty involves placing a tailored polypropylene mesh over the inguinal canal defect, secured to ligament and oblique fascia under local/regional anesthesia.Transabdominal Preperitoneal (TAPP) hernia repair uses laparoscopic access via three ports (umbilicus and bilateral midclavicular lines), incises and closes a peritoneal flap, and places a large mesh in the preperitoneal space. Compression between these two procedure in terms of intraoperative ,postoperative complications and Long term follow up for recurrence of Hernia.
Comperative study between TAPP And Lichtenstein Techniques for Inguinal Hernia surgery. Worldwide, inguinal hernia repair is one of the commonest surgeries. The best treatment option to primary hernia has been investigated, but there still remains lack of evidence about the ideal approach. Therefore, this study aimed to compare the outcomes of inguinal hernia repair using Trans abdominal Pre peritoneal procedure(TAPP) \& Lichtenstein techniques. Primary outcomes are Operative time , Surgical site infection , Seroma , post operative ileus , bowel injury ,mesh infection , recurrence and quality of life .
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
60
Open surgical repair of inguinal hernia using a tension-free mesh technique. A standard polypropylene mesh is placed over the posterior wall of the inguinal canal and fixed with non-absorbable sutures under spinal or local anesthesia. This is a conventional method widely used in open hernia surgery.
Laparoscopic approach to inguinal hernia repair performed under general anesthesia. Three ports are used to access the abdominal cavity, and a peritoneal flap is created to place a large polypropylene mesh in the preperitoneal space. The mesh is fixed with tacks or glue, and the peritoneal flap is closed. This minimally invasive method is designed to reduce postoperative pain and enhance recovery.
Ganesh Shankar vidhyapthi Memorial Medical college kanpur
Kanpur, Uttar Pradesh, India
Operative time
Total duration of surgery in minutes, measure skin incision to reversal of pneumoperitoneum
Time frame: Intraoperative (measure during surgical procedure on day1)
Postoperative ileus
Delayed return of bowel function by flatus or bowel movement, abdominal distention or need for nasogastic tube decompression
Time frame: Up to 5 days
Surgical site infection
Superficial and deep wound infection including erythema , discharge or wound dehiscence
Time frame: Up to 30 days post operation
Hospital stay
Total number of days the date of operation to discharge from hospital
Time frame: From date of surgery untill discharge , assessed upto 14days
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