Total Extra-Peritoneal repair of inguinal hernia in adults: Our experience from Pakistan

Abstract

Objective: To determine the outcome of TEP technique among our patients being operated in our setup for IH.
Methods: After approval from ethical review board of our hospital, this retrospective study was started. This study was conducted at Allama Iqbal Memorial Trust hospital, Gujranwala, Medcare International Hospital, Gujranwala and Services Institute of Medical Sciences, Lahore over a period of 2 months from January, 2017 to March, 2017. All the patients of both genders, who had been operated by TEP technique, were included in the study. All the demographic details of these patients were obtained. Also preoperative and post-operative outcome was noted including post- operative complications. All the data were entered on a pre-designed proforma and was analysed using SPSS version 20.0.
Results: A total of 124 patients were operated for TEP in this duration. The mean age of patients was found to be 43.44±14.73 years. Most of the patients in this study were male. The most common side for IH was right side (61.2%). Most of the patients were undergoing for primary surgery for IH and only 7.2% were operated for recurrence. Regarding the per-operative course, the mean operative time for surgery was found to be 57.7±18.58 minutes. None of our patients had received any intra-operative complication. Most common post-operative complication was found to be spinal headache in 8.8%, followed by urinary retention and seroma formation. Also 4 patients developed wound infection. Of 80 patients, whose long-term follow up was available, only 2 patients reported recurrence.
Conclusions: On the basis of this study, we conclude that TEP is a safe technique for IHR having many advantages of lesser scar formation and low complication rate, particularly in experienced hands. Therefore it may be used routinely and al patients with IH can be operated safely with this technique.