Background
Up till now, there is a great concern about the optimal technique for repair of AQ4
recurrent inguinal hernia. The aim of this study was to evaluate the outcome of
transabdominal preperitoneal (TAPP) repair versus open preperitoneal approach
for treatment of recurrent inguinal hernia.
Patients and methods
The present study included 72 male patients with recurrent inguinal hernia who
were randomly allocated into two groups: group A (n=36) underwent TAPP,
whereas group B (n=36) underwent open preperitoneal repair. For both groups,
the operative time, intraoperative complications, postoperative complications,
hospital stay, and return to normal activities were recorded. Follow-up was
designed for 1 month for early postoperative complications and up to 2 years
for recurrence.
Results
The mean age of the included patients was 42±15.2 and 44±11.9 years in groups A
and B, respectively. There was no statistically significant difference between the
mean operative time between both groups (P=0.064) and the mean hospital stay
(0.34). The reported intraoperative complications showed no statistically difference
between both groups. Seroma was reported in four (11.1%) cases in group B, and
this was significantly higher than that reported in group A, where only one (2.8%)
case was reported of postoperative seroma. There was no statistically significant
difference in the 2-year follow-up recurrence in the two groups (P=0.092).
Conclusion
Both TAPP and open preperitoneal are reliable and applicable procedures for
treatment of recurrent inguinal hernia with a low recurrence rate and minimal
postoperative complications.