Early outcome of laparoscopic total extraperitoneal inguinal hernia repair

Objective: To determine the early outcome of Laparoscopic total extra peritoneal repair for inguinal hernia. Methodology: This descriptive study was conducted from March 010 to February 2012, at Department of Surgery Chandka Medical College Teaching Hospital, Larkana, Pakistan. A total of 164 patients with unilateral, incomplete, reducible inguinal hernia underwent laparoscopic total extraperitoneal repair. Patients were followed postoperatively for early outcome of laparoscopic repair. Statistical analysis was carried out using SPSS version 17. Results: All patients were male. Mean age was 42 years. Mean operative time was 50 +/- 21 minutes (range 25-90). Postoperatively at 1st 24 hours the pain was mild in 110(67%), moderate in 38(23.2%) and severe in 16(9.8%) patients; while pain at 48 hours was mild in 140(85.4%), moderate in 22(13.4%) and severe in 2(1.2%). Early postoperative complications were acute urinary retention in 8 (4.9%) patients, scrotal seroma in 6(3.7%), scrotal hematoma in 4(2.4%) and wound infection in 7(4.3%) patients. Conclusion: Laparoscopic totally extraperitoneal repair is a new and safe technique for inguinal hernia repair with acceptable rates of morbidity.