Laparoscopic
hernia repair has all the advantages of a tension free repair. This study compares the laparoscopic transabdominal preperitoneal (
TAPP) approach with tension-free open
hernia repair in terms of
operative time,
postoperative pain,
hospital stay, complications, and cost. Open and
TAPP repairs using
polypropylene mesh were performed in two groups of 25 male patients. The difference in
operative times between the groups was not significant. Mean
pain scores (0-100) for the open group were 54.12 +/- 13.06 at 12 hours and 37.24 +/- 11.38 at 24 hours, significantly higher than the corresponding scores of 38.36 +/- 8.21 at 12 hours and 20.92 +/- 8.73 at 24 hours for the
TAPP group (P < 0.05). The mean postoperative
analgesic dose was 6.72 +/- 2.72 in the
TAPP group, which was insignificantly lower than 7.52 +/- 2.00 in the open group. Mean
hospital stay was 2.24 +/- 0.97 days in the open group and 1.52 +/- 0.51 in the
TAPP group, which was significant (P < 0.05). Twenty patients (80%) in the
TAPP group rated themselves highly satisfied with the surgery as compared to 11 patients (44%) in the open group (P < 0.05). There was no recurrence in either group during a mean followup period of 13.5 months (range, 8-28 months). Laparoscopic
hernia repair was significantly more expensive than open (1100 US dollars versus 629 US dollars).
TAPP repair is superior to open repair in terms of shorter
hospital stay, lower
postoperative pain, and better patient satisfaction. It is also safe, with no recurrence in a short-term period. This technique will be the operation of choice for the treatment of groin
hernia after long-term results have been established in our center.