Transabdominal pre-peritoneal procedure (TAPP) for bilateral and recurrent inguinal hernia among men

Background: Transabdominal pre-peritoneal procedure is used for the treatment of bilateral and recurrent inguinal hernias. Objective: The purpose of the present study was to see the recurrence of a hernia within 12 months after the surgical repair after transabdominal pre-peritoneal procedure for the treatment of bilateral and recurrent inguinal hernias. Methodology: This clinical trial was conducted Department of Surgery at Shaheed Suhrawardy Medical College, Dhaka and some private hospital in Dhaka city from January 2014 to December 2015 for a period of 2 years. Men who were between 18 to 70 years of age and had been diagnosed as a case of bilateral and recurrent inguinal hernias were eligible for this study. All the patients were randomly assigned to laparoscopic TAPP repair. All repairs involved laparoscopic TAPP procedure by using prolene mesh with tacker or suture fixation. Follow up was done for primary outcome of trial to see the recurrence of a hernia within 12 months after the repair. Result: A total number of 31 patients were recruited for this study of which 12(38.7%) were bilateral and 19(61.3%) were presented with recurrent inguinal hernias. After TAPP 2(6.4%) patients were developed post-operative haematoma and 2(6.4%) patients were developed seroma. Post-operative pain and numbness were minimum (2.0%) in all cases. There was a recurrence of hernia in 1(3.2%) case after 12 months follow up. Conclusion: Surgical outcomes of transabdominal pre-peritoneal procedure for the treatment of bilateral and recurrent inguinal hernias have good surgical outcomes with minimum morbidity and recurrence.