Transabdominal pre-peritoneal mesh repair versus Lichtenstein's hernioplasty

BACKGROUND: In the era of minimal invasive surgery, hernia repair has seen a paradigm shift from open to laparoscopic technique. However, superiority of laparoscopic repair over open repair is still controversial. Available literatures have shown laparoscopic technique to be better in term of post-operative pain and early return to work. METHODS: In this prospective study, a total of 102 patients aged 21-78 years with inguinal hernia were recruited and enrolled into two comparative groups, namely Lichtenstein's and Transabdominal pre-peritoneal, and each group containing 51 participants. Hospital ethical committee approval and written informed consent from patients was obtained. Primarily, the duration of operation, post-operative pain and complication, and quality of life after surgery was compared between the two different approaches of hernia repair. RESULTS: The study results demonstrated a statistically significant superiority of trans abdominal pre-peritoneal repair over Lichtenstein's hernioplasty in terms of post operative pain (2.00±0.63 vs 3.90±0.74 VAS score, P valu