Prospective Randomized Trial Comparing Laparoscopic Transabdominal Preperitoneal (TAPP) and Laparoscopic Totally Extra Peritoneal (tep) Approach for Bilateral Inguinal Hernia

Deborshi Sharma, MS MRCSEdin FMAS, Kamal Yadav, MBBS MS, Nikhil Gupta, MS MRCSEdin FMAS, Romesh Lal, MS DNB. Lady Hardinge Medical College & Associated Dr RML Hospital, New Delhi


Introduction: Laparoscopic inguinal hernia repair (LIHR) is an accepted technique for bilateral inguinal hernia. The two most common laparoscopic techniques for inguinal hernia repair are transabdominal preperitoneal (TAPP) repair and totally extraperitoneal (TEP) repair. Lot of controversy exists between the choices of procedure. Till date no randomized study is available comparing the two procedures in bilateral inguinal hernias.
Aim of the study: To compare the clinical effectiveness and relative efficacy of laparoscopic TAPP and laparoscopic TEP for bilateral inguinal hernia repair in terms of intra-operative difficulties, post-operative problems, complications and early recurrence.
Materials and Methods: All consecutive patients with uncomplicated symptomatic bilateral inguinal hernia diagnosed clinically, attending the surgery out patient department at Lady Hardinge Medical College was included and were operated by a single surgeon.
Exclusion criteria: Patient unfit for general anaesthesia, Below 18yrs and above 70yrs, Previous lower abdominal surgery, Pregnancy, Past history of malignancy, Complicated Hernia, Severe LUTS, Morbid Obesity, Uncorrected coagulopathy.
Sample Size: A convenient sample size (30 in each group) was taken
Results: TEP took longer time but consumption of tacks was more in TEP compared to TAPP. There was no significant difference between blood loss, inferior epigastric artery injury, post operative pain scores, hospital stay and wound infection. Their was no recurrence in either group.
Conclusion: Both procedures are safe with similar incidence of intra & post operative complications. Surgeons should choose the procedure according to his competence and expertise.


Session Number: Poster – Poster Presentations
Program Number: P265
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