European Journal of Molecular & Clinical Medicine

Abstract

Background: Inguinal hernia is a common problem that can be treated only by surgery. The surgeons should improve their technical skills in laparoscopic repair of inguinal hernia (TAPP) with short learning curve. The aim of the present study was to evaluate the safety, effectiveness and feasibility of TAPP inguinal hernia repair. 
Patients and methods: A total of 18 consecutive male patients with inguinal hernias were prospectively randomized to TAPP repair at the surgical outpatient clinics of Zagazig University Hospitals. Postoperative pain was estimated using the visual analogue scale (VAS). Postoperative hospital stay and early postoperative complications were recorded.
Results: The present study showed age was distributed as 44.22±15.7 and majority was manual worker.VAS reduced significantly from 4.16±1.5 one week postoperative to 0.32± 0.31 six months postoperative. During follow-up, no pain, seromaformation were noticed in any patient. Complicated cases were 3 cases (16.7%). 2 cases with scrotal edema (11%) and recurrence 1 case (5.6%). Follow-up was performed at 7 days and at 1, 4, 6 months. When comparing complicated and uncomplicated cases in terms of post- operative pain, hospital stay, return to work and socio-demographic data, only hospital stay was significantly longer in cases that complicated later on.
Conclusion: Laparoscopic transabdominal preperitoneal mesh repair is safe and effective technique in treating inguinal hernia with less post-operative complications associated with and satisfaction and faster recovery.