Trans-abdominal pre-peritoneal (TAPP) repair for inguinal hernias: A five years experience in a tertiary care hospital

Abstract

Objective: To evaluate the efficacy of Transabdominal pre-peritoneal repair in the treatment of inguinal hernias. Material and Methods: This retrospective study was conducted in Surgical A Unit, Khyber Teaching Hospital from January 2015 to December 2019. A total 114 patients were included in the study. All of the patients underwent Laparoscopic Trans-abdominal pre-peritoneal (TAPP) repair. After six months follow up, their outcome variables were analysed. Results: Mean age of the study population was 41 (+7.8 SD) years (range 21-67 years). one-hundred and four patients had unilateral while 10 patients had bilateral hernias. Eighty nine (78.07%) patients had primary hernia while 25 (21.92%) patients had recurrent hernia. Mean postoperative hospital stay was 1.21(+0.3 SD) days. Umbilical port infection was noted in 2 (1.75%) patients while no case of deep/mesh infection was noted. Recurrence was noted in one case only. Chronic groin pain was noted in 5 (4.38%) cases. Conclusion: TAPP is a safe and effective treatment modality for the treatment of primary and recurrent inguinal hernias.