What does this research mean for the field?

Laparoscopic mesh repair for inguinal hernia using TAPP, TEP, or e-TEP techniques is safe, resulting in minimal pain, short hospitalization, and low complication rates. Novelty: ClaimNovelty.CONFIRMATORY. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

This study aims to evaluate the incidence and pattern of perioperative complications following laparoscopic mesh repair for inguinal hernia.

June 10, 2026Open Access

Perioperative complications of laparoscopic mesh repair for inguinal hernia: A prospective observational study from a tertiary centre in Kashmir

Key Points

This study aims to evaluate the incidence and pattern of perioperative complications following laparoscopic mesh repair for inguinal hernia.
Prospective observational study conducted at a tertiary care center in Kashmir.
Included patients aged ≥18 years with primary, uncomplicated inguinal hernias undergoing elective laparoscopic repair.
Analyzed demographic, clinical, operative, and outcome data from 56 male patients.
Early postoperative complications observed included pain (7.1%) and urinary retention (1.8%).
Intermediate complications were port-site infection (1.8%) and seroma (5.4%).
No intraoperative complications, mortality, or recurrence at 6 months.

Abstract

Abstract Background: Laparoscopic mesh repair for inguinal hernia offers faster recovery and less post-operative pain than open repair, though concerns persist regarding perioperative and mesh-related complications. This prospective observational study evaluated the incidence and pattern of complications following laparoscopic inguinal hernia repair in a high-volume tertiary care centre in Kashmir. Patients and Methods: Adults ≥18 years with primary, uncomplicated inguinal hernia undergoing elective laparoscopic mesh repair (transabdominal preperitoneal TAPP, totally extraperitoneal TEP or extended TEP e-TEP) were included, while obstructed, strangulated, irreducible, recurrent and paediatric hernias were excluded. Demographic, clinical, operative and outcome data were analysed. Results: Fifty-six male patients (mean age 56.25 ± 13.56 years) were studied. Hypertension (32.1%) and hypothyroidism (19.6%) were common comorbidities; smoking (46.4%) was the predominant risk factor. Most hernias were unilateral (75%), right-sided (42.8%) and indirect (71.4%). TAPP was performed in 57.1%, e-TEP in 30.3% and TEP in 12.6% of cases. Mean operative time was 65.7 ± 3.9 min for unilateral and 88 ± 7.4 min for bilateral repairs. No intraoperative complications occurred. Early post-operative complications included pain (7.1%) and urinary retention (1.8%), mainly after TAPP. Intermediate complications comprised port-site infection (1.8%) and seroma (5.4%), more frequent after e-TEP. Mesh infection occurred in 2 patients (3.6%), requiring explantation in one. Mean hospital stay was 1.6 ± 0.62 days (96.4% discharged within 2 days). No mortality or recurrence occurred at 6 months. Conclusion: Laparoscopic mesh repair using TAPP, TEP or e-TEP is safe, with minimal pain, short hospitalisation and low complication rates. Optimisation of comorbidities and mesh selection may further enhance outcomes.

Perioperative complications of laparoscopic mesh repair for inguinal hernia: A prospective observational study from a tertiary centre in Kashmir

Key Points

Abstract

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