Background: Hernia repair is one of the most common operation performed by general surgeons. The aim of our study is to compare the outcome results of the laparoscopic total extraperitoneal TEP hernia repair with mesh to those of open preperitoneal repair with mesh. Methods: 60 patients were included divided on two groups, 30 for each. Group O; underwent open preperitoneal repair with mesh, Group L; underwent laparoscopic TEP repair with mesh. Follow up of patients was done in the out-patient clinic at Benha university hospitals , 7 days after discharge then at 1, 3, 6 and 12 months postoperatively till December 2020. Both groups were compared in terms of operative technique, operative time, intra & post operative complications, early post operative pain within one week, hospital stay, restriction of physical activity and incidence of recurrence and chronic pain. Results: TEP repair appeared technically more difficult as evidenced by increased operative time, conversion and more intraoperative –although minor- complications. It needs a long learning curve and a dedicated team for technique excellence. However, it is preferred because it is associated with less acute postoperative pain, less wound-related complications, shorter hospital stay and rapid return to normal activity. It is also followed by good cosmetic result and general patient satisfaction. Conclusion: Both techniques are considered safe and effective with similar rates of recurrence and chronic pain although further wider scale studies are recommended. |
