Comparative Study of Open versus Laparoscopic Inguinal Hernia Repair (TAPP/TEP): A Prospective Observational Study at a Tertiary Care Centre in Jamshedpur

Tushar Malua; Rani Khushboo; Neha Khushboo; Shital Malua

doi:10.51168/9neng345

Authors

Tushar Malua Manipal Tata Medical College, Jamshedpur, Jharkhand, India
Rani Khushboo Rajendra Institute of Medical Sciences
Neha Khushboo MGM, Jamshedpur, Jharkhand, India
Shital Malua Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India

DOI:

https://doi.org/10.51168/9neng345

Keywords:

Inguinal hernia, Open mesh repair, Lichtenstein repair, Laparoscopic hernia repair, transabdominal preperitoneal, totally extraperitoneal, postoperative pain

Abstract

Background:

This study compared perioperative and postoperative outcomes of open Lichtenstein mesh repair with laparoscopic inguinal hernia repair using transabdominal preperitoneal (TAPP) or totally extraperitoneal (TEP) techniques.

Methods:

This prospective observational study included 100 patients with primary inguinal hernia treated at a tertiary care centre in Jamshedpur. Fifty patients underwent open Lichtenstein mesh repair and 50 underwent laparoscopic repair (tapp/tep). Demographic characteristics, operative duration, postoperative pain, hospital stay, complications, return to normal activity, and recurrence were assessed.

Results:

The mean age was 48.84 ± 13.26 years in the open group and 46.52 ± 12.71 years in the laparoscopic group. Males predominated in both groups (96% vs. 98%). The mean operative time was significantly longer with laparoscopic repair (76.34 ± 14.28 vs. 59.16 ± 12.41 minutes; p < 0.001). Postoperative pain was significantly lower (2.84 ± 0.92 vs. 4.96 ± 1.12; p < 0.001), hospital stay was shorter (2.12 ± 0.76 vs. 3.68 ± 1.08 days; p < 0.001), and return to normal activity was earlier (12.8 ± 3.4 vs. 19.7 ± 4.2 days; p < 0.001) with laparoscopic repair. Postoperative complications occurred in 20% versus 44% of patients (p = 0.010). Recurrence was comparable (2% vs. 4%; p = 0.558).

Conclusion:

Laparoscopic repair was associated with better postoperative recovery despite longer operative time.

Recommendation:

Laparoscopic repair may be considered in appropriately selected patients where appropriate expertise and infrastructure are available.

Author Biographies

Tushar Malua, Manipal Tata Medical College, Jamshedpur, Jharkhand, India

is an assistant professor in the Department of General Surgery, Manipal Tata Medical College, Jamshedpur, Jharkhand, India. His professional activities include clinical practice, surgical education, and research in general surgery.
Neha Khushboo, MGM, Jamshedpur, Jharkhand, India

is a junior resident academic in the Department of Pathology, MGM, Jamshedpur, Jharkhand, India. Her professional activities include clinical training, academic activities, and research.
Shital Malua, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India

is a professor in the Department of General Surgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India. Her professional activities include clinical practice, surgical education, and research in general surgery.

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