Complications of Total Extraperitoneal (TEP) Repair for Adult Inguinal Hernia

Ata Ul Lateef; Asrar Ahmad Khan; Sultan Mehmood Khan; Muneeza Zubair

doi:10.29054/apmc/2016.284

Ata Ul Lateef Associate Professor Surgery Punjab Medical College, Faisalabad
Asrar Ahmad Khan Assistant Professor, Surgery Punjab Medical College, Faisalabad
Sultan Mehmood Khan Assistant Professor Surgery Punjab Medical College, Faisalabad
Muneeza Zubair PGR Surgery, Surgical Unit 3 Allied Hospital, Faisalabad

DOI: https://doi.org/10.29054/apmc/2016.284

Keywords: Inguinal hernia, TEP, Complications

Abstract

Objectives: To evaluate results of laparoscopic total extra peritoneal repair for inguinal hernia in terms of complications. Setting: Surgical Unit 3, Allied Hospital, Faisalabad. Period: From March 2013 to February 2016. Study Design: Simple Descriptive Study. Patients & Methods: 114 patients over the age of 30 years underwent TEP repair for unilateral reducible inguinal hernia. Complications assessed included pain score assessment, analgesia requirement, time taken to return to normal activity and complications like intraperitoneal injury, conversion to open procedure, seroma & hematoma formation and surgical site infection. Results: Out of the 114 patients, 6 (5.26%) needed TEP converted to open and none suffered from serious complication during the procedure. 8 (7.01%) developed postoperative hematoma, 7 (6.14%) developed seroma and 5 (4.38%) developed surgical site infection. Postoperative pain assessment at 8 hours after surgery showed 42(36.8%) patients required extra analgesia while 13(11.4%) patients required extra analgesia 24 hours after surgery.