J Korean Surg Soc JKSS Journal of the Korean Surgical Society 1226-0053 The Korean Surgical Society 10.4174/jkss.2009.77.4.273 Original Article The Comparative Analysis between Laparoscopic Total Extraperitoneal Repair and Open Tissue Repair: Initial Experience of a Single Institute Jun Kang-Woong M.D. Jung Hun M.D. 1 Kim Sung-Jeep M.D. Jun Kyong-Hwa M.D. Chin Hyung-Min M.D. Kim Jun-Gi M.D. 1 Park Woo-Bae M.D. Department of Surgery, St. Vincent's Hospital, The Catholic University of Korea, Seoul, Korea. Department of Surgery, College of Medicine, Suwon, Seoul St. Mary's Hospital, Seoul, Korea. Corresponding author (dkkwkh@catholic.ac.kr) 10 2009 30 09 2009 77 4 273 278 02 06 2009 13 07 2009 Copyright © 2009 The Korean Surgical Society 2009 Purpose

Laparoscopic herniorrhaphy has been recognized as one of the treatment options for inguinal hernia. This study compared the short-term results of two methods of repair: totally extraperitoneal (TEP) repair and open tissue based repair.

 Methods

A retrospective review was conducted on all patients who underwent laparoscopic TEP repair (LH, 105 cases) and open repair (OH, 57 cases) at our hospital between September 2007 and December 2008. Posterior wall repairs in open technique follow as McVay (25 cases) and Bassini (32 cases). Demographic data, operation time, perioperative complications, consumption of analgesics, and hospital stay were compared.

 Results

There was no significant difference in relation to patient characteristics; age, gender, BMI, medical and surgical history and hernia type. Also, there was no difference of operation time for both groups. Patients in the LH group consumed fewer analgesics (P=0.002). Intraoperative complications occurred more frequently in the LH group (P=0.036) but postoperative complications were similar. Hospital stay was shorter in LH (P<0.001). There was no difference of recurrence between LH group and OH group for 16 months.

 Conclusion

Laparoscopic TEP repair shows similar postoperative complications and recurrences and with less postoperative pain and hospital stay, compared with open tissue based hernia repair. However, further study with longer follow up data is necessary.

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Learning curve of the laparoscopic herniorrhaphy.

Patient demographics

NS = not significant.

Clinical outcomes

NS = not significant.

Perioperative complications

NS = not significant.