Original Articles
Early Outcome Comparison of Laparoscopic Transabdominal Preperitoneal Repair for Inguinal Hernia Using Non-Absorbable Polypropylene Mesh Versus Partially Absorbable Composite Mesh | |
Dr. Ashok Kumar, Dr. Rahul Suryakant Shivpewar | |
Aim: This study aimed to compare early postoperative outcomes between non-absorbable polypropylene mesh and partially absorbable composite mesh in laparoscopic transabdominal preperitoneal (TAPP) repair of inguinal hernia.Materials and Methods: A prospective comparative study was conducted at a tertiary care hospital, enrolling 130 patients diagnosed with unilateral or bilateral inguinal hernia. Patients were randomly assigned into two groups: Group A (n=65) underwent TAPP repair using non-absorbable polypropylene mesh, while Group B (n=65) received partially absorbable composite mesh. Postoperative outcomes were assessed at 24 hours, 7 days, and 1 month, including postoperative pain (VAS), duration of hospital stay, time to return to activities, early complications (seroma, hematoma, infection), chronic pain (>30 days), and hernia recurrence. Results: The mean postoperative pain score (VAS) was 4.08 ± 1.02 in Group A and 3.49 ± 0.98 in Group B (p=0.012), indicating significantly lower pain in the composite mesh group. The mean hospital stay was significantly shorter in Group B (2.34 ± 0.47 days) than Group A (2.56 ± 0.52 days) (p=0.047). Patients in Group B resumed daily activities significantly earlier (9.12 ± 1.76 days vs. 10.23 ± 1.89 days, p=0.033). Early complication rates were comparable between the two groups, with seroma (p=0.419), hematoma (p=0.474), and infection (p=0.654) showing no significant differences. Chronic pain (>30 days) was reported in 12.31% of patients in Group A and 13.85% in Group B (p=0.782), while hernia recurrence was identical at 3.08% in both groups (p=1.000). Multiple regression analysis found no significant predictors of chronic pain, with all p-values >0.05.Conclusion: Laparoscopic TAPP repair using partially absorbable composite mesh resulted in lower postoperative pain, shorter hospital stays, and faster recovery compared to non-absorbable polypropylene mesh. However, early complications, chronic pain incidence, and hernia recurrence rates were similar between both groups, indicating no significant long-term advantage of composite mesh over polypropylene mesh. Further research is needed to evaluate chronic pain risk factors in inguinal hernia repair. |
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