Outcome of totally extra-peritoneal laparoscopic hernioplasty at a tertiary care hospital Larkana

Objective: to evaluate the outcome of totally extra-peritoneal laparoscopic hernioplasty in terms of hospital stay, operative time and complications. methods: the prospective descriptive study was carried out at the department of surgery, unit-i, chandka medical college teaching hospital, larkana, pakistan, from september 2008 to june 2010. a total of 141 male patients above 12 years of age with reducible primary and secondary, unilateral and bilateral, direct and indirect inguinal hernia underwent total extra-peritoneal hernia repair. all the relevant details of each patient were noted and subsequently analysed statistically. results: overall, 100 (71%) patients had unilateral inguinal hernia and 41 (29%) had bilateral inguinal hernia. the mean age of the patients was 51±14 years. the mean operation duration was 70±19 minutes. bilateral repairs took 20 minutes more than unilateral repairs (80 versus 59 minutes). however, the mean operative time for the last 55 (30%) cases decreased to 55±10 minutes. one (0.7%) patient had conversion to open surgery and 10 (7.1%) had minor complications; mostly scrotum seroma, that were resolved. recurrences occurred in 2 (1.4%) cases; 1 in recurrent hernia, and 1 in bilateral direct hernia. however, no hernia ecurrence was present in the last 81 (59%) patients. the mean hospital stay was 1.4±0.6 days.conclusion: laparoscopic hernia repair is difficult to learn and perform, but has advantages of less post-operative pain, early recovery with minimal hospital stay, low post-operative complications and recurrence.