RANDOMIZED CONTROLLED TRIAL BETWEEN TENSION FREE OPEN HERNIA REPAIR (LICHTENSTEIN'S) AND LAPAROSCOPIC TRANSABDOMINAL PREPERITONEAL (TAPP) REPAIR OF INGUINAL HERNIA

Dr. Neeraj Kumar Banoria; Dr. Pankaj Kumar Saunakiya; Dr. Mata Prasad Upadhyay

Volume : IX, Issue : VII, July - 2020

RANDOMIZED CONTROLLED TRIAL BETWEEN TENSION FREE OPEN HERNIA REPAIR (LICHTENSTEIN'S) AND LAPAROSCOPIC TRANSABDOMINAL PREPERITONEAL (TAPP) REPAIR OF INGUINAL HERNIA

Dr. Neeraj Kumar Banoria, Dr. Pankaj Kumar Saunakiya, Dr. Mata Prasad Upadhyay

Abstract :

Objective: To compare the open Lichtenstein repair and laparoscopic mesh repair for direct inguinal hernias in terms of immediate post operative pain and length of hospital stay. Methods: This randomized control trial was conducted at Maharani Laxmi Bai Medical College, Jhansi, Uttar Pradesh from December 2017 to June 2019. All patients presenting in the surgical OPD with inguinal hernia (Direct & Indirect) were randomly divided in two equal groups. Group-I, patients underwent Lichtenstein�s repair and Group-II had hernioplasty by laparoscopic method (TAPP). Post operative pain intensity assessed by VAS and hospital stay measured in hours. Results: A total 84 patients of inguinal hernia (Direct & Indirect) were studied. The mean age was 43.48�17 years . The range of postoperative pain experienced was 5.35 as per VAS among all patients. In group-I (open hernioplasty) majority of patients 42.86% patients (n=18) experience severe type of pain where as in group-II, moderate severity of pain was reported by large number of patients (76.19%, n=32) The mean post operative pain intensity as per VAS was 6.05 in group-I and 4.67 in group-II patients. The mean length of hospital stay was slightly less (5.64 days) in group-I as compared to group-II (4.55days). Conclusion: There is definitely less post operative pain & less post operative hospital stay after laparoscopic repair.