Laparoscopic Hernioplasty (TEPP) Versus Open Hernioplasty: Comparison of Postoperative Pain and Mobilization

Syed Jawad Shah, doctor

Holy Family Hospital, rawalpindi, Pakistan

INTRODUCTION: Since the advent of laparoscopic technique of surgery majority of hernioplasties are performed laparoscopically. The purpose of this surgery is to compare laparoscopic hernia repair with the open repair. There is less postoperative pain and early mobilization of the patient in laparoscopic hernioplasty than the open technique.

METHODS AND MATERAILS: this study is carried out Surgical department, Holy Family Hospital, Rawalpindi, Pakistan. A total of 50 patients were included, who were then divided into two study groups containing 25 patients in each group. each patient was included into respective group of theie choice after explaining both techniques to the patints. Group A patients under went laparoscopic repair while in Group B open hernia repair was performed.

RESULTS: In Group A out of 25 patient 9(36%) patients complaint of pain incision site after 6 hours of surgery, and were mobilsed after 8 hours, while non of these had pain on follow up at one month. While in group B, 17 patients (68%) had pain complaints after 6 hours of surgery and were mobilized after 8 hours of surgery, and 8 out of these 17 patients (32%) had persistent pain even after one month follow up.

CONCLUSION: The respective study shows that there is lesser incision site pain no chronic or persistent pain, and earlier mobilsation after laparoscopic hernia repair in comparison to open technique.

Session: Poster Presentation

Program Number: P544

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