Comparative Study of Laparoscopic Extended Totally Extra Peritoneal (e-TEP) Repair of Inguinal Hernia Versus Laparoscopic Totally Extra Peritoneal (TEP) Repair of Inguinal Hernia

This research paper aims to compare the advantages and disadvantages between eTEP technique and TEP technique of Laparoscopic inguinal hernia repair. The study evaluates parameters such as safety and efficacy of the procedures, operating times, post operative complications and duration of hospital stay to determine the most efficient treatment method. Introduction: Laparoscopic Inguinal hernia repair is indicated for bilateral hernias or recurrent following open repair. A complete history and physical examination are mandatory to assess the patient's fitness for general anaesthesia. The two laparoscopic approaches are worldwide adopted namely Trans Abdominal Pre Peritoneal Approach (TAPP) and Totally Extra Peritoneal (TEP) Objective: This study aims to compare the advantages and disadvantages of Laparoscopic eTEP repair over TEP repair of inguinal hernia. To compare between both techniques on the basis of operative time, complication (both intraoperative and post operative), ease of feasibility of both technique, length of stay in hospital, post operatively return to work. Methodology: The study involved a comparative analysis of patients undergoing e-TEP and TEP laparoscopic inguinal hernia repair techniques. Parameters such as intraoperative variables (operative time and ease of operability), post operative complications, and post-operative recovery periods were recorded and analyzed. Results: The results indicated that eTEP has shorter operative time, less intra operative complications, better visualisation of landmarks and better ease of mesh fixation, hence better surgeon. Discussion: Currently, five laparoscopic techniques are available for managing an inguinal hernia: TEP, TAPP, e-TEP, Transabdominal preperitoneal, Intra-peritoneal on -lay mesh and laparoscopic herniotomy. The current paper reports on the comparison of eTEP approach versus TEP approach of inguinal hernia repair. The eTEP approach employs a conundrum of surgical strategies and maneuvers with the primary aim of improving the extraperitoneal workspace. ConclusionBoth TEP as well as eTEP provide similar results in experienced hands; however, eTEP provides an overall better surgeon satisfaction score. A larger sample size in setting of a multicentric study is needed to determine the superiority of eTEP over conventional TEP.