International Journal of Science and Research (IJSR)

International Journal of Science and Research (IJSR)
Call for Papers | Fully Refereed | Open Access | Double Blind Peer Reviewed

ISSN: 2319-7064


Downloads: 2 | Views: 60 | Weekly Hits: ⮙2 | Monthly Hits: ⮙2

Doctoral Thesis | Medical Science | India | Volume 13 Issue 12, December 2024 | Popularity: 5.3 / 10


     

A Comparative Study of Intraoperative and Postoperative Outcomes in TEP Hernioplasty Versus Lichtenstein Tension - Free Open Hernioplasty: A Focus on Complications, Recovery and Recurrence

Dr. Vinay Krishna, Dr. Sandesh Kumar Srivastava, Dr. Santosh Kumar, Dr Durgesh Kumar Tripathi


Abstract: Background and Aims: Inguinal hernia repair is one of the most frequently performed surgeries worldwide, with two primary techniques being Lichtenstein tension - free open hernioplasty and laparoscopic Totally Extraperitoneal (TEP) hernioplasty. The Lichtenstein method, though effective in reducing recurrence, often leads to longer recovery times and higher rates of wound complications. TEP hernioplasty offers a minimally invasive alternative with promises of faster recovery and reduced postoperative pain. This study aims to compare intraoperative and postoperative complications, recovery time, and recurrence rates between these two methods. Methods: This prospective, single - center study was conducted at BRD Medical College, Gorakhpur, over a 12 - month period. A total of 51 patients with primary unilateral inguinal hernias (both direct and indirect) were randomized into two groups: TEP hernioplasty and Lichtenstein tension - free open hernioplasty. Data on intraoperative complications, postoperative outcomes, recovery time, and recurrence rates were collected. Ethical approval was obtained from the Institutional Ethics Committee, and informed consent was taken from all participants. Statistical analysis was performed using SPSS version 23.0 with P - values < 0.05 considered statistically significant. Results: The TEP group had a significantly longer operative time (128.10 ? 22.993 min) compared to the Lichtenstein group (49.83 ? 9.237 min), but shorter hospital stays (3.19 ? 0.680 vs.5.13 ? 1.167 days) and quicker return to normal activities (2.52 ? 0.928 vs.5.40 ? 1.276 days). Postoperative pain was lower in the TEP group (5.52 ? 0.928 vs.6.67 ? 0.547), though not statistically significant (P = 0.081). No significant differences were observed in complications such as bowel or vascular injuries, seroma, hematoma, or recurrence. Conclusion: TEP hernioplasty offers advantages in terms of quicker recovery, shorter hospital stays, and reduced postoperative pain, despite a longer operative time. Both techniques demonstrate similar safety profiles with comparable complication and recurrence rates.


Keywords: Inguinal hernia, TEP hernioplasty, Lichtenstein hernioplasty, postoperative complications, recovery


Edition: Volume 13 Issue 12, December 2024


Pages: 710 - 717


DOI: https://www.doi.org/10.21275/SR241206220720



Make Sure to Disable the Pop-Up Blocker of Web Browser




Text copied to Clipboard!
Dr. Vinay Krishna, Dr. Sandesh Kumar Srivastava, Dr. Santosh Kumar, Dr Durgesh Kumar Tripathi, "A Comparative Study of Intraoperative and Postoperative Outcomes in TEP Hernioplasty Versus Lichtenstein Tension - Free Open Hernioplasty: A Focus on Complications, Recovery and Recurrence", International Journal of Science and Research (IJSR), Volume 13 Issue 12, December 2024, pp. 710-717, https://www.ijsr.net/getabstract.php?paperid=SR241206220720, DOI: https://www.doi.org/10.21275/SR241206220720



Similar Articles

Downloads: 2 | Weekly Hits: ⮙1 | Monthly Hits: ⮙1

Analysis Study Research Paper, Medical Science, India, Volume 13 Issue 10, October 2024

Pages: 1221 - 1226

10-Year Study of Clinical Outcomes and Bowel Function Following Surgical Treatment in Hirschsprung?s Disease

Prabhat Shah, Renu Kushwaha, Santosh Kumar

Share this Article

Downloads: 8 | Weekly Hits: ⮙2 | Monthly Hits: ⮙2

Research Paper, Medical Science, India, Volume 13 Issue 8, August 2024

Pages: 1420 - 1426

Elective vs Emergency C-Section Outcomes and Prognosis on Maternal & Neonatal Health

Liyana Mohamad Ali

Share this Article

Downloads: 122 | Weekly Hits: ⮙1 | Monthly Hits: ⮙2

Research Paper, Medical Science, Albania, Volume 8 Issue 5, May 2019

Pages: 1255 - 1259

Post Operator Delirium Increasing the Hospital Financial Burden

Haxhire Gani, Majlinda Naco, Greta Gani, Franceska Beqiri, Herion Dredha

Share this Article

Downloads: 159

Research Paper, Medical Science, India, Volume 8 Issue 11, November 2019

Pages: 140 - 142

Effect of Combined Epidural Anaesthesia Using 0.125% Inj Levobupivacaine Hydrochloride with General Anaesthesia for Hemodynamic Stability Intraoperatively and Post-Operative Analgesia in Emergency Exploratory Laparotomy Patients

Nikhat Parkar, Ritika Negi

Share this Article
Top