Comparison of Lichtenstein versus laparoscopic total extra peritoneal method in inguinal hernia surgery: a retrospective study
Keywords:Inguinal hernia, Inguinal hernioplasty, Open Lichtenstein hernia repair, Laparoscopic totally extraperitoneal hernia repair
Background: Inguinal hernias is known to be most common form of abdominal wall hernias and research studies suggested that 3 out of 4 patients of abdominal wall hernias are diagnosed with inguinal hernia. Inguinal hernioplasty is considered to be second most common general surgical operation worldwide and it accounts approximately 15% of all operations. This retrospective study is designed with aim that to compare open Lichtenstein hernia repair and laparoscopic totally extraperitoneal (TEP) hernia repair in patients with inguinal hernias. The result of the study helps to general surgeons to select the better method to treat inguinal hernias.
Methods: This was a retrospective study which was carried out at General Surgery department, Dr. M.K. Shah Medical College and Research Centre, Ahmedabad. Total 100 patients’ data were included in the study that has fulfilled inclusion and exclusion criteria of the study.
Results: In present study majority of the patients of both the group are in their 5th decade of their age. It was found that majority of the cases had right side hernia as compare to left side hernia. It was found that mean operative time for bilateral hernia is comparatively higher in Lichtenstein as compared to TEP.
Conclusions: Lichtenstein procedure has less postoperative complications like abdominal distension, seroma and urinary infections. Laparoscopic TEP procedure is having less operative time particularly in bilateral hernia, less postoperative pain, early mobilization and early return to work.
abula JB, Chalya PL. Surgical management of inguinal hernias at Bugando Medical Centre in Northwestern Tanzania: Our experiences in a resource-limited setting. BMC Res Notes. 2012;5:585.
Williams NS, Bulstrode CJ, O'Connell PR. Bailey and Love's Short Practice of Surgery. 25th ed. London: Hodder Arnold; 2008.
Kulacoglu H. Current options in inguinal hernia repair in adult patients. Hippokratia. 2011;15(3):223–31.
Aeberhard P, Klaiber C, Meyenberg A, Osterwalder A, Tschudi J. Prospective audit of laparoscopic totally extraperitoneal inguinal hernia repair: a multicenter study of the Swiss Association for Laparoscopic and Thoracoscopic Surgery (SALTC). Surg Endosc. 1999;13(11):1115-20.
Prasad KT, Apparao RV, Ramarao PSV. Comparative evaluation of Lichtenstein tension free hernia repair vs. laparoscopic TEP repair of inguinal hernia. Asian Pac J Health Sci. 2016;3(4):300-5.
Sawarkar P, Agrawal A, Zade R, Mehera B, Gupta D. Lichtenstein hernia repair versus totally extraperitoneal hernia repair: Randomized control study in rural area. J Mahatma Gandhi Institute Med Sci. 2017;22(2):93-8.
Al-Shemy G, Hassan A, Elias AAK, Nagi A. Evaluation of open hernioplasty in bilateral inguinal hernia repair. Al-Azhar Assiut Med J. 2018;16(1):66-72.