Background: Inguinal hernia is the most commonly done surgery in general surgical practice. Recently laparoscopic techniques (Transabdominal pre peritoneal / totally extraperitoneal approach) are becoming popular than open techniques. Its advantages include decreased hospital stay postoperatively, earlier return to work, decreased postoperative pain, minimum surgical incisions and so better cosmetic results and lesser postoperative complications. Despite many benefits, laparoscopic technique have some disadvantage including surgical costs , operation time and instruments facility. To find out a safe and better surgical technique for inguinal hernia repair and to compare initial outcome of laparoscopic (TAPP) with open Lichtenstein technique for inguinal hernia repair. Materials and methods: This study was conducted in the Department of Surgery, Sylhet MAG Osmani Medical College Hospital (SOMCH) Sylhet. Patient underwent mesh repair of inguinal hernia were enrolled for study and allocated in to two groups, 26 patients in each group. The group-A (Case) treated by laparoscopic Transabdominal preperitoneal repair and group-B (Control) treated by open Lichtenstein hernioplasty. Results: There was no significant difference between two groups in respects to demographic features and ASA status. On comparison between groups, it is evident that frequency of wound infection was 7.2% in group-A. Whereas this frequency was higher, e.g. 30.8% in group B. Similarly intensity of pain was higher in group-B as compared with group-A. In this study patients in the group-B had higher VAS, during the 1st POD (p = 0.0001), compared with the group-A. Mean verbal pain score was 5.2±0.47 and 7.4±0.68 in group A 34 (2) : 141-145
Paul et al. (Mon,) studied this question.