OPERATIVE PAIN AND WOUND INFECTION IN LICHTENSTEIN REPAIR VERSUS LAPAROSCOPIC TAPP REPAIR IN INGUINAL HERNIA
DOI:
https://doi.org/10.65605/a-jmrhs.2026.v04.i02.pp2158-2162Keywords:
Inguinal Hernia, Lichtenstein Repair, Transabdominal Pre Peritoneal Repair.Abstract
Objective The purpose of this study is to evaluate the efficacy of lichtenstein mesh repair vs laproscopic TAPP mesh repair for inguinal hernias in terms of postoperative discomfort and wound infection. Surgical Unit 4 of Jinnah Post Graduate Medical College JPMC in Karachi is where the procedure took place. The research utilised a randomised control trial design and lasted for six months, from September 1, 2023, to February 1, 2024.
Methods: The study comprised all patients admitted to the JPMC Karachi Department of Surgery who met the inclusion criteria. After ensuring their anaesthetic readiness, getting ethical clearance, and receiving written consent, they had surgery. Group 1 (Lichtenstein repair) and Group 2 (TAPP) were the two groups into which the patients were split. We compared the two groups based on the outcomes, which included the mean post-operative pain level and wound infection at 8, 24, and 5 days after the surgery.
Result: A total 100 patients with inguinal hernias were included. The mean post-operative pain score (at 8 hours, 24 hours & 5th day) in group 1 was 6.440+1.090, 5.560+0.860 & 3.500+0.735 respectively while in group 2 it was 4.160+0.865, 3.040+0.668 & 1.580+0.537 respectively. The wound infection at 8 hours, 24 hours & 5th day in group 1 was seen in 3 patients (3%), (3%) & 2(2%) respectively while in group 2 it was noted in one patient (1%),1(1%) & 1(1%) respectively
Conclusion: Laparoscopic TAPP operation demonstrated significantly less post-operative pain and wound infection as compared to Lichtenstein mesh repair.
