Abstract

Background:  The  treatment of hernia has passed through an extensive evolution ever since Eduardo Bassini performed the first tissue repair of inguinal hernia in later half of nineteenth century. There is no single repair that can be considered as a standard repair for inguinal hernia and the process is still evolving. We performed a study to evaluate the outcome of laparoscopic totally extraperitoneal prosthesis repair of inguinal hernia.

Method: The study is a prospective observational study conducted in a department of surgery, Govt medical college Srinagar from 2012 onwards. Patients having groin hernia presenting to the OPD of the SMHS hospital were randomly selected for this study. A total of 200 patients were considered for the study. After doing all base line investigations and proper pre anaesthetic check up patients were taken for TEP.

Results and Observations: In our study minimum and maximum age was 20 and 80 years for TEP with mean age of 46.76±13.0 years; showing that no age is immune to inguinal hernia. In our study there were only male patients, a total of 200 patients were included in the study. Overall complications in our study were 12.5%. 7.5% cases were converted from TEP to other procedure. Seven patients had vascular injury (inferior epigastric artery) during the procedure. Hemostasis was achieved in 2 parients while as 5 patients were converted to open  procedure and ligation of vessel was done. 5% of patients were converted to TAPP because of technical difficulties like loss of pre peritoneum, perforation of peritoneum.

Conclusion: We concluded that TEP is a safe and effective procedure of repair for inguinal hernias with minimum morbidity in expert hands with a comparable  complication rate to other procedures but has a long learning curve and with experience, the complication rate also reduces.