DOI: 10.36347/sjams.2016.v04i10.026

Pages: 3681-3692

Laparoscopic surgery has led to many changes in the management of surgical patients. Laparoscopic herniorrhaphy has shown definite benefits over the open technique. The objective of this study is to study the feasibility, safety and efficacy of laparoscopic total extraperitoneal repair (TEP) and also to plot a learning curve for the procedure. The study of Laparoscopic (TEP) management of inguinal hernia was carried out at tertiary care hospital in Maharashtra. In all 86 patients between 10- 80 years of age with total 99 hernias (13 bilateral hernias) were subjected to laparoscopic repair. Laparoscopic TEP caused significantly less pain. Wound infection rate was minimal (6.98%) in the form of Erythema/ induration, stitch abscess, subcutaneous abscess. There was no life threatening major complication in any of patient. This has been mainly possible due to minimal invasive nature of laparoscopic surgery. As a result there is decrease in the post-operative pain and hence early ambulation of patients as compared to open surgery. Laparoscopic TEP is a safe and effective method of hernia repair but with a long learning curve and requires high technical skill.