Acta Scientific Gastrointestinal Disorders (ASGIS)(ISSN: 2582-1091)

Research Article Volume 3 Issue 8

Laparoscopic Groin Hernia Repair: A Systematic Institutional Study

Tuhin Shah1*, Ashish Prasad Rajbhandari1, Bhuban Rijal1, Rabin Koirala1 and Arjana Shakya2

1Department of Surgery, Nepal Medical College, Kathmandu, Nepal
2Department of Ophthalmology, Asia Pacific Medical College, Birgunj, Nepal

*Corresponding Author: Tuhin Shah, Department of Surgery, Nepal Medical College, Kathmandu, Nepal.

Received: June 13, 2020; Published: July 09, 2020



Introduction: Laparoscopic inguinal hernia repair is an option for inguinal hernia repair and is emerging rapidly as more surgeons are using this method and reporting the results. It has gained a key role in inguinal hernia repair with advantages reported in many trials and guidelines.

Methods: This is a retrospective descriptive study conducted in Surgery Department of Nepal Medical College and Teaching Hospital, Nepal from November 2017 to April 2019. All patients more than 16 years of age with inguinal hernias were given the choice of laparoscopic or open repair. Those who opted for laparoscopic repair were included in the study.

Results: A total of 47 patients were included ranging from 16 to 78 years. There was a male predominance with 40 patients; and TEP (total extraperitoneal) repair was done in 30 while TAPP (transabdominal preperitoneal) repair was done in 17 patients. In 11 patients, we did a combined procedure in the form of Pantaloon hernia in 4, umbilical hernia in 2 and cholecystectomy in 5 patients. In this study, 10 patients had surgical complications, 4 each had peritoneal tear and seroma collection and 2 had SSI. The average total hospital stay was 3.2 (range 2-6) days and we do not report any hernia recurrence in our study.

Conclusion: Laparoscopic inguinal hernia repair can be safely considered in a developing country with limited resources after attaining proper training and expertise.

Keywords: Inguinal Hernia; TEP; TAPP; Groin Hernia; Laparoscopic Inguinal Hernia Repair



  1. McCormack K., et al. “Laparoscopic surgery for inguinal hernia repair: systematic review of effectiveness and economic evaluation”. Health Technology Assessment 14 (2005): 1-203.
  2. Kingsnorth A and LeBlanc K. “Hernias: inguinal and incisional”. Lancet362 (2003): 1561-1571.
  3. Fitzgibbons RJ., et al. “Long-term results of a randomized controlled trial of a nonoperative strategy (watchful waiting) for men with minimally symptomatic inguinal hernias”. Annuals of Surgery3 (2013): 508-515.
  4. Sachs M., et al. “Historical evaluation of inguinal hernia repair”. World Journal of Surgery2 (1997): 218-223.
  5. Qiu K and Ma J. “Comments on TAPP versus TEP for laparoscopic hernia repair: A metaanalysis”. Surgical Laparoscopy Endoscopy and Percutaneous Techniques2 (2016): 171.
  6. Wei FX., et al. “Transabdominal Preperitoneal (TAPP) Versus Totally Extraperitoneal (TEP) for Laparoscopic Hernia Repair: A Meta-Analysis”. Surgical Laparoscopy Endoscopy and Percutaneous Techniques 5 (2015): 375-383.
  7. Bittner R aand Köckerling F. “Endorsement of the hernia surgical guidelines by the International Endohernia Society”. Hernia1 (2018): 179.
  8. Krishna A., et al. “Laparoscopic inguinal hernia repair: transabdominal preperitoneal (TAPP) versus totally extraperitoneal (TEP) approach: a prospective randomized controlled trial”. Surgical Endoscopy26 (2012):639-649.
  9. Misra MC., et al. “Total extra-peritoneal repair of groin hernia: prospective evaluation at a tertiary care center”. Hernia 12 (2008): 65-71.
  10. Chua YT., et al. “Interaction between warfarin and Chinese herbal medicines”. Singapore Medical Journal1 (2015): 11-18.
  11. Shakya VC., et al. “Laparoscopic inguinal hernia repair: a prospective evaluation at Eastern Nepal”. Pan African Medical Journal 17 (2014): 241.
  12. Bendavid R., et al. “A mechanism of mesh related post-herniorrhaphy neuralgia”. Hernia20(2016):357-365.
  13. Altintoprak F., et al. “Laparoscopic Inguinal Hernia Repair: Technical Details, Pitfalls and Current Results”. (2018).
  14. Antoniou SA., et al. “Meta-analysis of randomized trials comparing nonpenetrating vs mechanical mesh fixation in laparoscopic inguinal hernia repair”. The American Journal of Surgery211 (2016): 239-249-e2.
  15. Schmedt CG., et al. “Comparison of endoscopic procedures vs Lichtenstein and other open mesh techniques for inguinal hernia repair: a meta-analysis of randomized controlled trials”. Surgical Endoscopy2 (2005): 188-199.
  16. Heikkinen T., et al. “Five-year outcome of laparoscopic and Lichtenstein hernioplasties”. Surgical Endoscopy3 (2004): 518-22.
  17. EU Hernia Trialists Collaboration. “Laparoscopic compared with open methods of groin hernia repair: systematic review of randomized controlled trials”. British Journal of Surgery7 (2000): 860-867.
  18. Totté E., et al. “Surgical anatomy of the inguinal region: implications during inguinal laparoscopic herniorrhaphy”. European Surgical Research3 (2005): 185-190.
  19. Yang XF and Liu JL. “Anatomy essentials for laparoscopic inguinal hernia repair”. The Annals of Translational Medicine's 19 (2016): 372.
  20. Buyukasik K., et al. “Comparison of mesh fixation and non-fixation in laparoscopic totally extraperitoneal inguinal hernia repair”. Hernia21(2017): 543-548.
  21. Teng YJ., et al. “A meta-analysis of randomized controlled trials of fixation versus nonfixation of mesh in laparoscopic total extraperitoneal inguinal hernia repair”. Surgical Endoscopy25 (2011): 2849-2858.
  22. Tam KW., et al. “Outcomes of staple fixation of mesh versus nonfixation in laparoscopic total extraperitoneal inguinal repair: a meta-analysis of randomized controlled trials”. World Journal of Surgery 34 (2010): 3065-3074.
  23. Sajid MS., et al. “A meta-analysis examining the use of tacker fixation versus nofixation of mesh in laparoscopic inguinal hernia repair”. International Journal of Surgery5 (2012): 224-231.
  24. Sanders DL and Waydia S. “A systematic review of randomised control trials assessing mesh fixation in open inguinal hernia repair”. Hernia18 (2014): 165-176.
  25. ACS Surgery principles and practice hernia repair chapter 28/ part 1 / types of inguinal hernia repair.
  26. Stylopoulos N., et al. “A cost-utility analysis of treatment options for inguinal hernia in 1,513,008 adult patients”.Surgical Endoscopy17 (2003): 180-189.
  27. Wilson MS., et al. “Prospective trial comparing Lichtenstein with laparoscopic tension-free mesh repair of inguinal hernia”. British Journal of Surgery2 (1995): 274-277.
  28. Pahwa HS., et al. “Current trends in laparoscopic groin hernia repair: A review”. World Journal of Clinical Cases3 (2015): 789-792.
  29. Brittner R., et al. “Erratum to: Update of guidelines on laparoscopic(TAPP) and endoscopic (TEP) treatment of inguinal hernia (İnternational Endohernia Society)”. Surgical Endoscopy6 (2015): 1655-1656.


Citation: Tuhin Shah., et al. “Laparoscopic Groin Hernia Repair: A Systematic Institutional Study". Acta Scientific Gastrointestinal Disorders 3.8 (2020): 02-08.


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