TRANS-ABDOMINAL PRE-PERITONEAL (TAPP) REPAIR FOR INGUINAL HERNIAS: A FIVE YEARS EXPERIENCE IN A TERTIARY CARE HOSPITAL

Objective To evaluate the efficacy of Transabdominal pre-peritoneal repair in the treatment of inguinal hernias Materials and Methods: This retrospective study was conducted in Surgical A Unit, Khyber Teaching Hospital from January 2015 to December 2019. A total 114 patients were included in the study. All of the patients underwent Laparoscopic Trans-abdominal pre-peritoneal(TAPP) repair. After six months follow up, their outcome variables were analysed. Results: Mean age of the study population was 41±7.8(SD) years(range 21-67 years). 104 patients had unilateral while 10 patients had bilateral hernias. 89(78.07%) patients had primary hernia while 25(21.92%) patients had recurrent hernia. Mean postoperative hospital stay was 1.21±0.3(SD) days. Umbilical port infection was noted in 2(1.75%) patients while no case of deep/ mesh infection was noted. Recurrence was noted in one case only. Chronic groin pain was noted in 5(4.38%) cases. Conclusion: TAPP is a safe and effective treatment modality for the treatment of primary and recurrent inguinal hernias.