INITIAL EXPERIENCE AND OUTCOMES OF SINGLE-PORT LAPAROSCOPIC TRANSABDOMINAL PREPERITONEAL REPAIR FOR INGUINAL HERNIAS, BIHAR, INDIA: A CLINICAL STUDY.

Priyaranjan  Kumar; Arun  Yadav; Sandhya

doi:10.51168/sjhrafrica.v4i12.921

Authors

Priyaranjan Kumar Senior Resident, Department of General Surgery, IGIMS, Patna, Bihar, India
Arun Yadav Senior Resident, Department of General Surgery, IGIMS, Patna, Bihar, India
Sandhya MBBS, Department of DCP, PMCH, Patna, Bihar, India.

DOI:

https://doi.org/10.51168/sjhrafrica.v4i12.921

Keywords:

Single port laparoscopic repair, Transabdominal Preperitoneal, Inguinal Hernia, Totally Extraperitoneal

Abstract

Introduction

Inguinal hernia repair is the most common surgery worldwide. Laparoscopic inguinal hernia repair has many advantages over open treatment. Single-incision laparoscopic surgery (SILS) reduces the invasiveness of laparoscopy. This innovative approach has garnered considerable success and has been effectively executed by numerous skilled surgeons.

Methods

The present study was conducted over a duration of twelve months, within the Department of General Surgery in a tertiary care centre. This study was conducted on a cohort of 40 patients who presented with uncomplicated inguinal hernia. Among this group, 20 patients underwent single port laparoscopic transabdominal preperitoneal (TAPP) repair, while the remaining 20 patients underwent conventional TAPP repair.

Results

The average age, weight, and height were 43.45 years, 58.46 kilograms, and 156.1 centimeters, respectively. These measurements were found to be nearly identical for both conventional TAPP procedures, indicating no statistically significant differences. In the present study, a total of 24 participants (51%) were diagnosed with indirect inguinal hernia, while 22 participants (47%) were diagnosed with direct inguinal hernia. Notably, the observed disparity between the two groups was found to be statistically insignificant. There was a notable increase in postoperative complications observed in patients who underwent the conventional transabdominal preperitoneal (TAPP) procedure. The duration of hospitalization following single port TAPP surgery was observed to be significantly shorter compared to conventional TAPP surgery.

Conclusion

Therefore, in comparison to the conventional technique, single port TAPP surgery demonstrates a reduced duration of the procedure and administration of general anesthesia. Additionally, it presents a decreased incidence of postoperative complications, a shorter hospitalization period, and an expedited recovery process.

Recommendations

The study recommends single-port laparoscopic transabdominal preperitoneal (TAPP) repair for simple inguinal hernias. It decreases process time, postoperative issues, hospitalization, and recovery time compared to normal TAPP repair. Surgeons considering inguinal hernia surgery should consider these benefits.