Abstract:Objective:To compare the clinical efficiency of laparoscopic total extraperitoneal hernia repair(TEP) with Lichtenstein tension-free hernioplasty under local anesthesia (TFH).
Methods :The clinical data of 252 adult patients with inguinal hernia were retrospectively studied. Fifty-six cases were repaired by TEP, and 196 cases had TFH. Clinical evaluation was made at one week and at half a year after operation.
Results:In TEP group, the frequency of analgesic use in 72 hours after operation, the time of return to regular activity, and chronic local pain were significant better than those in TFH group (P<0.05). There was no significant difference between the two groups in complication and recurrence rate (P>0.05). But in Lichtenstein procedure group, the operation time, length of postoperative hospital stay, time to ambulation, and cost, were more better than those in TEP group (P<0.05).
Conclusions:TEP has small incision, less pain and quick recovery, but with high cost. The TFH is simple, lower cost, and wide indications, espicially suitable for elderly patients.