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