A Comparative Study of Extended View – Totally Extraperitoneal Repair versus Totally Extraperitoneal Repair for Laparoscopic Inguinal Hernia Surgery

  • P B Sudarshan Professor, Department of General Surgery
  • Godwin Devadhas Packiaraj Assistant Professor, Department of General Surgery
  • Tasmia Papa Post Graduate Student, Department of General Surgery
  • S Porchelvan Professor, Department of Biostatistics
  • K Kumaran Assistant Professor, Department of General Surgery
  • Akil Selvam Assistant Professor, Department of General Surgery
  • B S Sundaravadhanan Professor, Department of General Surgery
Keywords: Extended-totally extraperitoneal repair, Inguinal hernia, Totally extraperitoneal repair, Transabdominal preperitoneal

Abstract

Background: Inguinal hernia forms a major volume of surgical work in any department of general surgery. The rapid pace of developments in technology and better understanding of anatomy of anterior abdominal wall was a compelling factor to undertake this study.
Materials and Methods: The study was carried out in a tertiary hospital, Saveetha Medical College and Hospital, in the Department of General Surgery for a period of 18 months. It is a prospective cohort study with 50 subjects included in the study. P < 0.05 was considered significant. The test of significance was calculated using Chi-square test.
Results: Comparing totally extraperitoneal repair (TEP) versus Extended TEP (e-TEP), P = 0.004 for managing accidental pneumoperitoneum was observed, which was significant, favoring e-TEP over TEP. While analyzing the pain score, P < 0.045 was seen, which was considered to be significant for e-TEP .
Conclusions: It was concluded that e-TEP had an advantage over TEP with very less chance or virtually no chance of being converted to open or TAPP. The rate of recovery was better in e-TEP, with significant p value favoring e-TEP over TEP. Hence it has become a norm in our unit, to prefer e-TEP over TEP for all types of inguinal hernias that can be managed laparoscopically.

Author Biographies

P B Sudarshan, Professor, Department of General Surgery

Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India

Godwin Devadhas Packiaraj, Assistant Professor, Department of General Surgery

Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India

Tasmia Papa, Post Graduate Student, Department of General Surgery

Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India

S Porchelvan, Professor, Department of Biostatistics

Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India

K Kumaran, Assistant Professor, Department of General Surgery

Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India

Akil Selvam, Assistant Professor, Department of General Surgery

Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India

B S Sundaravadhanan, Professor, Department of General Surgery

Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India

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Published
2021-09-23
Section
Articles