Study Of Clinical Profile OfExtended Totally Extra Peritoneal (ETEP) And Totally Extraperitoneal (TEP) ProceduresAmongstPatients With Inguinal Hernia.

[摘要] Endoscopic herniorrhaphy (EH) has been shown to have a recurrence rate comparable to opentension-free herniorrhaphy (OH), reducing the relative risk by 30-50% over conventional non-meshprocedures. The main objective of this study was to study post operative outcome and complianceamongst patients undergoing ETEP and TEP and assess post operative complications amongst patientsoperated by TEP and ETEP to compare complications (Intra-operative, Early or Late Post-operative)associated with inguinal hernia repair. At the time of registration the baseline information was takenespecially with respect to sociodemographic factors, clinical findings, and other investigations. On lumpexamination it was seen that all patients had cough impulse positive, the lump was reducible in all and onpercussion there was a dull note in all the respondents among both the groups respectively. On deep ringocclusion, among TEP it was seen that majority 23cases had indirect deep ring occlusion and among ETEPsurgery majority 21cases had indirect deep ring occlusion. The eTEP technique has a place in thearmamentarium of hernia surgeons. Residents and surgeons early in their experience find this techniqueeasier to master than the classic TEP method. It has expanded the traditional indications of theextraperitoneal approach to patients with a difficult body habitus, a short umbilicus-pubis distance, andprevious pelvic surgery. As the s urge on‟s experience increases, the indications for the traditional TEPtechnique can be expanded to more complex cases.

[学科分类] 工程和技术（综合）

[关键词] Endoscopic herniorrhaphy;open tension-free herniorrhaphy