Primary Inguial Hernia Repair: Laparoscopic Transabdominal Preperitoneal (TAPP) Repair Versus Lichtenstein Repair

  • Abdelraheem Donkol
  • Hamdy Hussein
  • Mahmoud Abdelhameid
Keywords: Primary Inguinal hernia, Laparoscopy, Transabdominal Preperitoneal Lichtenstein,


Background: Primary inguinal hernia (PIH) is
currently treated using Lichtenstein and
transabdominal preperitoneal (TAPP)
Methodology: This prospective randomized
controlled trial compared Lichtenstein versus
TAPP techniques in PIH repair. 60 patients
having PIH were enrolled in this study.
Patients presented to general surgery clinic in
Qena University Hospital between January
2015 and December 2015. Patients were 20-70
years old and were of ASA I & II category.
Patients were divided into 2 equal groups.
Each group included 30 cases. One group was
operated by Lichtenstein repair and the other
group was operated by TAPP technique.
Results: Average operative time was 38.96 ±
9.62 minutes for the Lichtenstein group versus
70.73 ± 9.72 minutes for the TAPP group (p <
0.0001). Both short-term and long-term
complications had no statistical differences
between the 2 groups. 2 patients developed
hematoma in the open group versus one patient
in TAPP group (p = 0.9). One patient
developed seroma in Lichtenstein group versus
2 patients in TAPP group (p = 0.9). 3 patients
developed infection of the incision site in
Lichtenstein group versus 1 patient in TAPP
group (p 0.65). 2 patients suffered from urinary
retention in Lichtenstein group versus 4
patients in TAPP group (p = 0.7). TAPP
patients returned to daily activities and work
earlier than Lichtenstein group. In long term
post-operative factors there was 1 case of
hernia recurrence observed during the followup in Lichtenstein group versus no patients in
TAPP group (p 0.9). There was no mortality in
any group 30 day after treatment. One patient
in TAPP group developed port site hernia and
was subsequently managed by open tissue
repair. Conclusion: TAPP technique is
recommended over open technique in
management of the PIH repair.