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.. Open Lichtenstein inguinal hernioplasty is universally accepted as a safe, wellunderstood method with a high success rate, the laparoscopicrepair of an inguinal hernia is a comparatively recent technique. This study is conducted to evaluate a technique with better efficacy that will be offered to the patients in the future. To compare the outcome of open mesh hernioplasty (Lichtenstein technique) with laparoscopic total extraperioneal (TEP) mesh repairs for the treatment of inguinal hernias. Study Design: Randomized control trial. Setting: Department of Surgery, Allied Hospital, Faisalabad. Period: From 7th February 2014 to 6th August 2014. Materials and Methods: 154 male patients with age between 20-45 years were included. Patients having INR > 1.5, history of chronic cough and previous abdominal surgery were excluded. Laparoscopic hernioplasty was performed in group A (n=77) and open hernioplasty was performed in group B (n=77). Results: The mean age of the patients was 32.91±7.78. In group A, 3 (3.9%) patients had ascrotal hematoma, while it was 12(15.6%) in group B. There is statistically significant difference between two groups (p-value=0.014). Conclusion: Laparoscopic TEP can be performed safely with acceptable postoperative complication and is better treatment modality than open mesh hernioplasty.

COMPARISON OF OPEN MESH HERNIOPLASTY WITH LAPAROSCOPIC TOTAL EXTRAPERITONEAL (TEP) MESH REPAIRS FOR INGUINAL HERNIAS.