Page 81 - World Journal of Laparoscopic Surgery

A Prospective Observational Study on Single-incision or Conventional Three-port Laparoscopic TEP Inguinal Hernia Repair

Figs 4A and B: Mesh used for the procedure

Figs 5A and B: Placement, unrolling, and fixation of mesh using absorbable secure straps

immediate postoperative pain relief. In both techniques, patients
were made ambulatory and orals started on the same day of
operation. The patients were discharged from the hospital as soon
as the patient became ambulatory and tolerated orals and were
pain-free. Patients were followed up at 1 week, 2 weeks, 4 weeks,
3 months, and 6 months.

The following parameters were recorded during our study:
• Information on gender, age, comorbidities, and past surgical
history.
• Hernia characteristics, like type of hernia whether indirect,
direct, femoral, side of hernia, unilateral or bilateral, primary, or
recurrent, were noted.
• Duration of surgery.
• Rate of conversion to open technique.
Fig. 6: Complete unrolling of the mesh over the myopectineal orifice • Pain score at 6 and 24 hours after the procedure.
of Fruchaud
(0—no pain, 2—least pain, 4—mild pain, 6—moderate pain,
tacks—at the pubic bone, at Cooper’s ligament, and above the 8—severe pain, and 10—worst pain possible)
iliopubic tract. After completion, the preperitoneal space is deflated • Postoperative complications, like seroma, hematoma, and
with care to avoid displacing the mesh. The anterior sheath is closed urinary retention, if any were recorded.
with a 2-0 Vicryl suture, and the skin with a 3-0 silk suture. • Time until return to normal (nonstrenuous) work was noted.
• Cosmetic results were graded subjectively 1 month
Postoperative Care postoperatively using the following range of choices: 5, very
After the operation, patients were shifted to the respective wards satisfied; 4, satisfied; 3, acceptable; 2, dissatisfied; and 1, very
and monitored. Injectable diclofenac sodium 75 mg was used for dissatisfied.

World Journal of Laparoscopic Surgery, Volume 15 Issue 1 (January–April 2022) 79