Page 3 - WJOLS - Journal of Laparoscopic Surgery

Tanweer Karim et al
numbers are largely attributed to the high incidence of Table 1: Distribution of site and type of hernia
the disease, which carries a lifetime risk of approximately Site Type
5,6
27% for men and 3% for women. Considering the socio- Age group Right Left Direct Indirect
economic impact of inguinal hernia repair, we discuss 18–30 13 8 4 14 17
14
31–45
20
20
the advantages and disadvantages of TAPP laparoscopic 46–60 19 16 22 13
inguinal hernia repair. 7 Total 52 38 40 50
Right side inguinal hernia is more common than left side; Indirect
AIM hernia is more common in younger age group than direct hernia
which is more common in older age group
The aim of the article is to study the outcome of laparo-
scopic TAPP inguinal hernia repair in terms of operat-
ing time, postoperative pain, wound complications, and
recurrence.

MATERIALS AND METHODS

This is an analysis of patients that underwent TAPP
inguinal hernia repair, from January 2013 to May 2015.
Case records of 90 patients between 18 and 60 years that
underwent TAPP by a single surgical team were followed
prospectively. Data about operative time, intraoperative
complications, immediate postoperative pain, chronic
groin pain, recurrence, sensory disturbance, and limita-
tion of activity were collected and compared.

RESULTS
Graph 1: Postoperative pain (mean)
During initial learning period, we have included patients
between 18 and 60 years of age under American Society of offering this modality to even patients aged 75 years old
Anesthesiologist (ASA) grade I (Table 1). Mean operative and above, accepted under ASA grades I and II. Average
time was 60 minutes (40–120 minutes). Postoperative pain cost of the mesh and fixation material per procedure is
as assessed by VAS 6 hours after has been low (mean: 2; approximately 15,000 INR, which is less than the Central
Graph 1). Chronic pain occurred in 2 patients (2.22%), Government Health Scheme rate.
but that has not affected routine work or mobility; 98%
of patients were satisfied with their repair and resumed
their work on 14th or 15th postoperative day (Graph 2). REVIEW OF LITERATURE
No incidence of wound infection, seroma formation, or Anatomical understanding of inguinal canal anatomy
recurrence has been reported so far. In the beginning, increased through the work of Camper, Scarpa, Cooper,
we chose an arbitrary age limit. However, now we are Hassel Bach, and Hunter. Edoardo Bassini reported first

A B
Graph 2: Operative time and return to work (days)
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