Short-Term Outcomes of Laparoscopic Inguinal Hernia TAPP Repair with Peritoneal Closure Using Tackers

Abstract

Aims & Objectives: The aim of this study is to find out short term outcomes in terms of duration of surgery, length of hospital stay and acute post operative pain for a patient undergoing laparoscopic inguinal hernia TAPP repair with peritoneal closure by tackers. Methods: A prospective, observational study was carried out in the institute over a period of 8 Months with 44 patients planned for elective Laparoscopic Inguinal Hernia repair were taken for study. Patients were studied for short term outcomes in terms of duration of surgery, length of hospital stay and acute post operative pain when peritoneal closure was done by tackers. This data was compared with current data available on same aspects where suturing was used as the method of peritoneal closure. Results: Postoperative pain, measured through the Visual Analog Scale (VAS), provided valuable insights into patient recovery. At one hour post-surgery, the most commonly reported VAS score was 8 (34.1%), with a mean score of 7 ± 1, indicating substantial immediate postoperative pain. Pain levels decreased significantly over 24 hours, with the most frequent scores between 2 and 6, and a mean of 4 ± 2, reflecting effective pain management protocols. The average hospital stay was 2.66 ± 0.68 days, demonstrating a relatively swift recovery period. All patients (100%) required rescue analgesia within one hour after surgery, emphasizing the importance of timely and effective pain relief strategies. Conclusion: The study offers comprehensive insights into the demographic distribution, surgical duration, pain management, and hospital stay associated with inguinal hernia repair when closure of peritoneum is done with tackers. It highlights the increased prevalence of inguinal hernia among elderly male patients and the predominance of bilateral cases, emphasizing the need for detailed preoperative assessment and tailored surgical planning. The results demonstrate the effectiveness of current pain management protocols and the benefits of the surgical technique in reducing hospital stays. Despite the longer surgery times for some patients, the shorter hospitalization duration and consistent pain outcomes reflect positive clinical efficiency and patient recovery. Future research should explore the underlying factors contributing to variations in surgical duration and patient outcomes, with larger sample sizes and multicentre studies offering broader generalizability.