A comparison of the outcomes of open tension-free mesh repair and totally extraperitoneal laparoscopic repair of inguinoscrotal hernias at Dr. George Mukhari Academic Hospital, Ga-Rankuwa, South Africa

Shazi Bhekithemba, Koto Modise, Osuagwu Chukwuemeka, Schoeman Hermanus

Department of Surgery, Sefako Makgatho Health Sciences University, Pretoria, 0204, South Africa.

Correspondence to:

Shazi Bhekithemba, MBBCh, FCS(SA), M.Med (Surgery),

Department of Surgery, Sefako Makgatho Health Sciences University, Pretoria, 0204, South Africa.          

Phone: +27 12 521 4111, Email: shazibhekithemba@gmail.com

Abstract

Aim: To determine the differences in post-operative complications experienced by patients with inguinoscrotal hernia after laparoscopic versus open repair and the association of risk factors to development of post-operative complications. Methods: We retrospectively reviewed the charts of all patients with inguinoscrotal hernias who had either Lichtenstein repair or totally extraperitoneal laparoscopic repair from January 2014 to December 2017. Results: The study was performed on evaluable data that could be extracted for 49 patients, of which 14 were offered totally extraperitoneal laparoscopic repair and 35 were offered Lichtenstein repair. There was no statistical difference in the mean operative time and mean time taken to return to normal activities between the two groups. The length of hospital stay was one day for both groups. Two patients from the totally extraperitoneal laparoscopic repair group developed recurrence compared to one patient from the Lichtenstein repair group. Three patients from the totally extraperitoneal laparoscopic repair group and one patient from the Lichtenstein repair group developed chronic groin pain. One patient from the totally extraperitoneal laparoscopic repair group developed a seroma.  Conclusion: Our study demonstrated that there was a trend towards better postoperative outcomes in the Lichtenstein repair group compared to the totally extraperitoneal laparoscopic group.

Keywords: *****

Ann Afr Surg. ****; **(*):***

DOI: http://dx.doi.org/10.4314/aas.v*****

Conflicts of Interest: None

Funding: None

© 2020 Author. This work is licensed under the Creative Commons Attribution 4.0 International License.

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