COMPARISON OF IPSILATERAL PORT VS CONTRALATERAL PORT IN TAPP HERNIA SURGERY

Introduction- Transabdominal preperitoneal (TAPP) hernia repair is an advanced surgical technique for inguinal hernias. Unlike traditional methods, TAPP involves entering the peritoneal cavity for access and repair. It offers enhanced visualization, potentially lower recurrence rates, and allows bilateral repair through minimal incisions. The procedure uses laparoscopic instruments to place a mesh over the hernia defect, securing it to prevent future herniation Methodology- In our study at JK Hospital, 20 adult patients with reducible inguinal hernias underwent TAPP hernioplasty under general anesthesia, adhering to strict inclusion criteria. We evaluated operative time, complications (such as bleeding and infection), post-operative pain levels, length of hospital stay, hernia recurrence rates, and patient satisfaction. The results highlighted comparable outcomes between patients, emphasizing the procedure's effectiveness and safety in managing inguinal hernias. These ndings contribute to understanding the benets of TAPP hernioplasty in clinical practice. Result- we found that ipsilateral procedures averaged 100 minutes, while contralateral procedures averaged 130 minutes ( ² = 27.01, p = 0.007). Despite this difference in operative times, both approaches showed similar outcomes in complications, hospital stay durations, post-operative pain, and patient satisfaction. These results indicate that both ipsilateral and contralateral port placements are effective and safe options for TAPP hernioplasty. Conclusion- The ipsilateral port technique in TAPP hernia repair enhances ergonomics, reduces operative time, and lowers complication risks through improved instrument handling and access