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Single Port Laparoscopic Transabdomional Preperitoneal (TAPP) Repair Of Inguinal Hernias: Initial Experiance And Outcome In Single Institute

Tejinder Pal Sigh Sodhi Tejinder, Kirti Savyasacchi Goyal Kirti, Sahil Mittal Sahil, Nitesh Singh Nitesh.

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INTRODUCTION: Inguinal hernia repair is the most frequently performed surgical procedure worldwide. Laparoscopic inguinal hernia repair has a number of advantages over conventional open repair. Single-incision laparoscopic surgery (SILS) was developed with the aim of reducing the invasiveness of conventional laparoscopy, and has been successfully performed by many surgeons
MATERIAL AND METHODS: This study was conducted over a period of one year from nov 2011 to October 2012 in Department of General Surgery, Acharya sri chander college of Medical Sciences and Hospital , Sidhra, Jammu(ASCOMS).
This study was conducted on 50 patients presenting to ASCOMS with uncomplicated inginal hernia among which 25 underwent single port laparoscopic TAPP and rest 25 underwent conventional TAPP
OBSERVATION AND RESULTS: The mean Age, weight and height were 44.45 , 59.46 and 157.1 cm respectively which were almost same for conventional TAPP and thus no significant differences were noted. In this study 26(52%) had indirect inguinal hernia and 24(48%) had indirect inguinal hernia and the difference was statistically insignificant. Postoperative complications were significantly more in conventional TAPP. Mean hospital stay in single port TAPP was significantly lower than conventional TAPP
CONCLUSION: Thus when compared to conventional technique single port TAPP offers lesser duration of surgery and general anaesthesia, lesser postoperative complications and lesser hospital stay and early recovery.

Key words: inguinal hernia, TAPP, TEP, Single port laparoscopic repair

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