Comparison of Postoperative Pain between Lichtenstein’s Repair and Laparoscopic Transabdominal Preperitoneal (TAPP) Repair of Inguinal Hernia
DOI:
https://doi.org/10.51985/Keywords:
Inguinal Canal, Inguinal Hernia, Laparoscopy, Postoperative Pain, TAPP, Visual Analogue Scale.Abstract
Objectives: To compare post-operative pain score between Lichtenstein’s repair versus laparoscopic trans-abdominal preperitoneal (TAPP) repair for inguinal hernia.
Study Design and Setting: Comparative cross sectional study. “Combined Military Hospital, Lahore from July-2021 to
July-2024”.
Methodology: The current study was approved from the ethical committee of the hospital. For sample size calculation,
Open Epi sample size calculator was used. Eighty patients who presented with inguinal hernia were included in the study.
They were non-randomly assigned into two groups of 40 patients; group A (Lichtenstein’s repair) and B (TAPP repair).
Diagnosis of inguinal hernia was made using clinical assessment and ultrasound. Patients were allocated “Lichtenstein
group” and “TAPP group” in two phases. From July 2021 to January 2023, 40 patients underwent “Lichtenstein hernia
repair” while in second phase from January 2023 to July 2024, remaining 40 patients underwent “TAPP repair”. the patients
were assessed and compared for post-operative pain score. Data was analyzed using SPSS version 22.
Results: In this study, 80 patients were included. Mean age was 48.10 ± 5.05 years. There were all 80 (100%) males.
Median BMI was 27.00 (29.40 – 19.70) kg/m2. Median duration of hernia was 5.00 (12.00 – 2.00) months. Frequency of
ASA status I was 29 (36.25%) and of ASA status II was 51 (63.75%). Median post-operative pain VAS in “Lichtenstein
group” was 6.00 (6.00 – 5.00) while in “TAPP group” it was 4.00 (4.00 – 3.00), (p < 0.001).
Conclusion: TAPP repair for inguinal hernia is associated with less postoperative pain as compared to Lichtenstein’s repair
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