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Aim: To compare the incidence of chronic pain after Transinguinal preperitoneal (TIPP) mesh repair versus Lichtenstein mesh repair in unilateral inguinal hernia. Methods: Patients presenting with Primary unilateral groin hernia and Age between 18 and 80 years were included in the study while patients with Recurrent hernia, Acute Incarcerated inguinal hernia , History of previous preperitoneal surgery (eg. radical prostatectomy) were excluded from the study. All the cases were divided by Alternate Allocation method. Follow-up was done after 3months and 6 months. Results: A total of 308 patients were randomized to TIPP (154) or Lichtenstein (154) repair. Baseline characteristics were comparable in the two groups. Significantly fewer patients in the TIPP group had continuous Moderate chronic pain (VAS between 3-6) 3 months after surgery; 8 patients(5.19%) versus 23 patients (14.9%) in the Lichtenstein group (P= 0.01 ) and at 6 months after surgery; 4 patients(2.6%) in TIPP versus 18 patients(11.75) in the Lichtenstein group. Comparable patients experienced Mild chronic pain (VAS between 1-2), 38 patients (24.6%) in Lichtenstein group versus 37patients (24%) in TIPP group at 3 months and 11 patients (7.14%) each in Lichtenstein group as well as TIPP group at 6 months post operatively. Conclusion: Fewer patients had continuous Moderate chronic pain at 3 months and 6 months after TIPP mesh inguinal hernia repair compared with Lichtenstein’s repair while incidence of Mild chronic pain was almost comparable.

Comparative Study of Chronic Pain Status after Transinguinal Preperitoneal Technique (TIPP) with Lichtenstein’s method for Inguinal Hernia Repair