OUR EXPERIENCE IN LAPAROSCOPIC (TAPP) INGUINAL HERNIA REPAIR

BACKGROUND: Inguinal hernia repair is the most frequently performed operation in general surgery. The standard method for inguinal hernia repair had changed little over a hundred years until the introduction of synthetic mesh. This mesh can be placed by either using an open approach or by using a minimal access laparoscopic technique. METHODS: This is a prospective study. Patients having inguinal hernias undergoing TAPP under Surgical 1st Unit of Bowring and Lady Curzon Hospital (affiliated to Bangalore medical college and research institute) from February 2012 to September 2014 are included in the study. During this period, a total of 30 patients participated. RESULTS: Average duration of procedure was 96.56min. None were converted to open. No patient developed haematoma. 1 patient developed seroma postoperatively and he was managed conservatively. No patient developed recurrence for 12months of follow up. None developed wound infections, port site, hernia, vascular or visceral injuries. Average duration of hospital stay was 48 hrs. Time to return to normal activities was 1 week. None developed persistent pain nor persistent numbness CONCLUSION: Laparoscopic hernia repair is as good as open repair with relative advantages and disadvantages.