Effectiveness of Laparoscopic Totally Extra-Peritoneal Repair versus Lichtenstein Repair in Patients of Inguinal Hernia: A Non-Randomized Comparative Study

Dr. Aarti Aundhekar, Dr. T. R. V Wilkinson

Abstract: Background: Inguinal hernia repair is one of the most common surgical procedures. The Lichtenstein tension-free mesh repair (LMR) remains the gold standard but is associated with postoperative pain and delayed recovery. Laparoscopic totally extraperitoneal (TEP) repair offers a minimally invasive alternative with faster rehabilitation. This study compares outcomes of LMR and TEP in terms of operative time, pain, complications, hospital stay, and recurrence. Methods: A non-randomized comparative study was conducted on 70 patients (>18 years) with primary, uncomplicated inguinal hernia. Thirty-five patients each underwent LMR or TEP. Operative time, postoperative pain (VAS days 1 and 3), complications, hospital stay, and recurrence were analyzed using SPSS 23. Results: Mean age was 44.7 years in the LMR group and 51.4 years in the TEP group; all patients were male. Operative time was shorter in LMR (30?60 min) than TEP (>60 min). By day 3, pain persisted in 62.8% of LMR versus 45.7% of TEP cases. Early complications (seroma, hematoma) and chronic pain were more frequent in LMR, while no recurrences were reported. Conclusion: TEP offers reduced pain, fewer complications, and faster recovery than LMR, though it requires greater expertise and time. Technique selection should be individualized.

Keywords: Inguinal hernia, Lichtenstein repair, Laparoscopic TEP repair, Totally extraperitoneal repair, Postoperative pain, Chronic neuralgia, Operative time, Surgical complications, Hospital stay, Recurrence, Comparative study, Minimally invasive surgery

How to Cite?: Dr. Aarti Aundhekar, Dr. T. R. V Wilkinson, "Effectiveness of Laparoscopic Totally Extra-Peritoneal Repair versus Lichtenstein Repair in Patients of Inguinal Hernia: A Non-Randomized Comparative Study", Volume 14 Issue 10, October 2025, International Journal of Science and Research (IJSR), Pages: 731-732, https://www.ijsr.net/getabstract.php?paperid=SR251010204336, DOI: https://dx.doi.org/10.21275/SR251010204336