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Research Paper | General Surgery | India | Volume 11 Issue 12, December 2022

Outcomes of Open Transinguinal Preperitoneal Hernioplasty in Unilateral Inguinal Hernia

Rajendra Shinde ^[3] | Saurabh J Deore | A Jibran Javed | Nikita N Marathe | Naresh B Kumar

Abstract: Inguinal hernia repair is the second most commonly performed operation for General Surgeons. Several operative techniques have been described. Tension - free mesh repair has been described as the gold standard in open inguinal hernia repair. In today?s scenario, the Lichtenstein Technique is the procedure of choice for open repairs. It is a tensionless repair, easy to learn and perform, with very low recurrence rates. Nowadays chronic pain is the main problem associated with the Lichtenstein procedure for inguinal hernia repair, with reported incidents of 15 - 40%. These problems can be avoided by placing a mesh in the preperitoneal plane by the transinguinal preperitoneal technique [TIPP]. Preperitoneal repairs are usually performed by the laparoscopic approach but are generally associated with a higher learning curve and cost. The preperitoneal tension - free technique [TIPP] combines the utility of the open operation technique with the advantages of minimal access procedures (small incision, preperitoneal mesh placement, avoidance of neuropathic pain). In our study, we found that transinguinal preperitoneal hernioplasty had similar results to Lichtenstein Mesh Repair in terms of operative time, duration of hospital stays, recovery time, and return to daily activities when compared with literature and published studies of Lichtenstein mesh repair.

Keywords: Transinguinal Preperitoneal Hernioplasty, inguinal hernia, TAPP, TEP

Edition: Volume 11 Issue 12, December 2022,

Pages: 38 - 48

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