Ali Javaid, Tahir Bashir, Maratab Ali.
Comparison of Laparoscopic versus Open Inguinal Hernioplasty.
Pak J Med Health Sci Jan ;12(2):772-4.

Aim: To compare laparoscopic vs open Inguinal Hernioplasty in regards to pain in postoperative period, complications, rejoining the work and early recurrence. Design: Prospective comparative study. Place and duration of study: Doctors Hospital, Chaudhary Akram Research and Teaching Hospital from July 2014 till Dec. 2016 Methods: Adult male patients presented to the general surgical OPD, with diagnosis of inguinal hernia underwent either Lichtenstein repair or laparoscopic repair by Transabdominal P re-peritoneal approach (TAP P). Total 83 patients underwent repair by attending surgeons. 57 of them had open and 26 had laparoscopic repair with use of polypropylene mesh . The patients were evaluated post operatively and during follow up for early post operative complications, postoperative pain, return to work and early recurrence . Result: Patients in Group A ( open-repair ) had significantly greater level of local pain during rest and during routine activities than those with in Group B ( laparoscopic group ) during zero post operative day, 1st post op. day and after two week respectively assessed on the visual-analogue scale (used for 2 weeks). The time to resume routine activities was much shorter among those undergoing laparoscopic repair than among those undergoing open repair . No recurrence was seen in either group on 1 year follow up. Conclusion: It is concluded that Laparoscopic TAPP repair of inguinal hernia in adults is safe and preferred operation as compared to openinguinal hernia repair.

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