Outcome of Laparoscopic (TEP) Versus Open (Lichtenstein) Inguinal Hernia Repair: Six-year Follow Up


  • Taweechai Wisanuyothin Department of Surgery, Maharat Nakhon Ratchasima Hospital, Nakhon Ratchasima,30000


Laparoscopic, TEP, Lichtenstein, Inguinal Hernia, Complications, Recurrence


Objective: To compare the results of laparoscopic totally extraperitoneal procedures (TEP) and Lichtenstein
inguinal hernia repairs.
Patients and Methods: Inguinal hernia repairs performed between January 2008 and December 2013 at Maharat
Nakhon Ratchasima Hospital were reviewed. The only exclusion criterion was obstructed hernia. All patients were
followed at 2 weeks, 6 weeks, 6 months and every year until 5 years.
Results: A total of 286 patients were included; 178 cases underwent open Lichtenstein technique, and 108 cases
underwent laparoscopic TEP. There were no significant differences between groups in gender (P = 0.186), type of
hernia (P = 0.250), hospital stay (P = 0.162), complications (P = 0.491), and recurrence rate (P = 0.999). Laparoscopic
TEP repair was advantageous in terms of less postoperative pain and faster return to normal activity (P < 0.001), but
open Lichtenstein repair was superior in terms of shorter operative time (P < 0.001).
Conclusion: Laparoscopic TEP inguinal hernia repair is safe, and more advantageous in terms of less postoperative
pain and faster return to normal activity when compared with the open Lichtenstein inguinal hernia repair,
while no differences in terms of complications and recurrent hernia could be detected.


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How to Cite

Wisanuyothin T. Outcome of Laparoscopic (TEP) Versus Open (Lichtenstein) Inguinal Hernia Repair: Six-year Follow Up. Thai J Surg [Internet]. 2015 Mar. 30 [cited 2023 Feb. 1];36(1). Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/226243



Original Articles