A comparative study between telescopic dissections versus laparoscopic stone extractor forceps dissection in total extra-peritoneal (tep) laparoscopic mesh repair of inguinal hernia

Inguinal hernia repair associated benefits of minimally invasive surgery, such as improved cosmesis, less pain, faster recovery, and improved success rates, have been shown not just in hernia surgery but also in other general surgical procedures like cholecystectomy, gastric banding and appendectomy, as well as in other surgical disciplines like gynaecology and urology. This randomized comparative study was comparing telescopic dissections (TD) versus laparoscopic stone extractor forceps dissection (FD) in total extra-peritoneal (TEP) laparoscopic mesh repair of inguinal hernia. This prospective, comparative, randomised study was conducted at the Department of General Surgery of Vivekananda Institute of Medical Sciences, Ramakrishna Mission SevaPratishthan Hospital, 99, Sarat Bose Road, Kolkata – 700026 and was done from Sept 2016 to April 2018 and 30 patients in each group. For statistical analysis data were entered into a Microsoft excel spread sheet and then analysed by SPSS 20.0.1. In our study it was found that 3 patients had peritoneal breach in both the groups. Association between peritoneal breach in two groups was not statistically significant (p-value=1.000).There is no statistically significant difference of injury to Vas in two groups (p-value= 0.5536).In our study it was found that 3 patients had scrotal edemain both the groups. Association between scrotal edemain two groups was not statistically significant (p-value=1.000).Difference of mean pain score on VAS 6 hrs in two groups was not statistically significant (p=0.7773).Difference of mean pain score on VAS 12hrs in two groups was not statistically significant (p=0.9232). We conclude that laparoscopic stone extractor forceps dissection may be performed safely as an alternative procedure of telescopic dissections, thereby eliminating extra time for changing telescope in this advance surgery.