Aim: AbstractIn this study, we aimed to compare mesh-plug technique, which we use tension free inguinal hernia, with anterior approach and Laparoscopic TEPP (total extraperitoneal preperitoneal) technique, which we use routinely in terms of operation time, postoperative pain, and return time to work, post-operative complications, and recurrence.
Material and Methods: Between February 1999 and December 2002, 60 patients who underwent mesh-plug procedure due to inguinal hernia and 62 patients with inguinal hernia who underwent laparoscopic TEPP between January 2012 and December 2014 were reviewed retrospectively in the General Surgery Clinic of Istanbul Training and Research Hospital. The age, gender, hernia localization and type, duration of operation, type of anesthesia, and duration of return to work, and postoperative complications of the patients were recorded.
Results: The median age was 40.1 (17-69) in the mesh-plug group and 29.2 (20-44) in the TEPP group. Six patients in Mesh-Plug group were recruited because of recurrence (Nyhus Type IV) hernia indication, while there were no recurrent hernias in the TEPP group. The median duration of operation was 29 (20-55) minutes in the Mesh-Plug group and 66.3 (44-88) minutes in the TEPP group (p: 0.04). The duration of hospital stay was 1.2 (1-3) days in the Mesh-Plug group and 1.12(1.1- 1.3) days in the TEPP group (p>0.05). The TEPP group had a shorter duration of postoperative pain and shorter period of returning to work and daily activities. The duration of operation was significantly shorter in the Mesh-Plug group.
Conclusion: The mesh-plug method, which is quite cost effective, can be applied with anterior approach and spinal anesthesia. When the mesh-plug technique was compared to the laparoscopic TEPP, which is applied under general anesthesia, the duration of hospital stay, the return time to daily activities, and the complications rates were very close.
Key words: Inguinal Hernia; Laparoscopic TEPP; Mesh-Plug Technique.
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