Study Of Intra and Post-Operative Complications in Laparoscopic Inguinal Hernia Repair Using Total Extraperitoneal (TEP) Approach

Background: Inguinal hernias are common surgical conditions caused by a defect in the abdominal wall at the myopectineal orifice, an inherently weak collagenous region. Laparoscopic Transabdominal Preperitoneal (TAPP) repair, introduced by Arregui and Dion in the early 1990s, revolutionized hernia surgery, while the extraperitoneal approach is based on the Rives-Stoppa technique. However, TEP may be associated with higher rates of postoperative complications, Therefore, this study evaluates short- and mid-term intraoperative and postoperative complications of laparoscopic inguinal hernia repair using the TEP approach. Methods: Present study was longitudinal in nature conducted among 38 patients undergoing TEP repair. All patients fulfilling inclusion criteria and exclusion criteria were taken up for the study. Study was carried out over a period of 1.5 years. Results: Intraoperative complications included conversion to open surgery (23.68%), major vessel clipping (15.79%), pneumoperitoneum (13.16%), and troublesome bleeding (10.53%). Postoperatively, chronic pain showed a significant reduction across follow-up visits, with the highest incidence at one month (p < 0.05), while wound infection was significant immediately postoperatively (p < 0.05). Other complications showed no significant variation across the follow-up period (p > 0.05). Conclusion: Laparoscopic TEP repair for inguinal hernia demonstrated favorable perioperative outcomes, with acceptable operative time, manageable complications, and no recurrences or mortality during follow-up.