European Journal of Molecular & Clinical Medicine

Abstract

Background: Different approaches can be performed for repairing abdominal wall
hernias as as laparoscopic transabdominal preperitoneal (TAPP) approach. This
study aimed to compare quality of life after laparoscopic transabdominal
preperitoneal repair (TAPP) and Lichtenstein hernioplasty according to EuraHS
QOL SCORE. Patients and Methods: This is a prospective clinical comparative
study upon 132 patients with inguinal hernia admitted to the surgical department of
Zagazig University for inguinal hernia repair. The patients were allocated into two
groups using closed envelope method of randomization. The patients were allocated
into two groups: Laparoscopic group (n=66) and Open group (n=66). All patients
involved in the study were subjected to full history and clinical examination and
routine investigations and EuraHS QOL Score Evaluation. Results: There is
statistically significant difference among both studied groups as regard intraoperative
complications (p<0.05). Operative time showed highly statistically
significant difference among both studied groups (p<0.001) with laparoscpoic
group longer than open group. Duration of stay showed highly statistically
significant difference among both studied group as regard (p<0.001). There is no
statistically significant difference among both studied groups as regard preoperative
pain felt during last week score (p>0.05), but there is statistically significant
difference among both studied groups as regard post-operative pain felt during last
week score after 1 month and post-operative pain felt during last week score after 3
months (p<0.05). Conclusion: Trans-abdominal pre-peritoneal repair (TAPP) is
better than lichtenstein hernioplasty in terms of quality of life (QOL) according to
EURAHS QOL SCORE.