Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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A Randomised Controlled Study for Comparision of Space Creation in Totally Extra Peritoneal Hernia Repair by Direct Telescopic Versus Balloon Dissection
Arnab Naha, Soumitra Chandra and Sudip Sarkar
Page: 532-536 | Received 02 Mar 2024, Published online: 23 May 2024
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Abstract
Minimally invasive approaches have been successfully incorporated in the armamentarium of inguinal hernia repair surgery, with proven benefits for decreased post-operative pain and earlier return to work. Various sites of the body are vulnerable to the occurrence of hernia but the inguinal region is the most commonly involved site.2 Approximately 75% of all hernias are usually groin hernias, among which 95% are of the inguinal region, which are common in men than in women and can be either indirect or direct. Total operative time to be mentioned in minutes from the incision to the end of extra peritoneal space creation to be compared with the total time of the procedure from incision to closure. (In TEP limited space is available during extra peritoneal space creation, bleeding may occur, which can increase the operative time It was a prospective randomized study. This study was conducted from 1st June 2018 to 30th November 2019-total period of 18 months this study is under Department of General Surgery, Vivekananda Institute of Medical Sciences, Ramakrishna Mission Seva Pratishthan, 99 Sarat Bose Road, Kolkata, 700026. In Balloon Dissection group, 1(3.2%) patient had Haematoma. Association of Haematoma vs Group was not statistically significant (p = 0.3133).In Balloon Dissection group, 10(32.3%) patients had Seroma and in Telescopic Dissection group, 11(35.5%) patients had Seroma. Association of Seroma vs Group was not statistically significant (p = 0.7884).In Balloon Dissection group, the mean 6hr Post-operative pain (VAS) (mean±s.d.) of patients was 6.4194±1.0575. In Telescopic Dissection group, the mean 6hr Post-operative pain (VAS)(mean± s.d.) of patients was 5.8065±0.9099. Difference of mean 6 hrs Post-operative pain (VAS) with two groups was statistically significant (p = 0.0174)In Balloon Dissection group, the mean 12 hrs VAS (mean±s.d.) of patients was 6.0968±0.9076. In Telescopic Dissection group, the mean 12 hrs VAS (mean± s.d.) of patients was 5.7419±0.8932. Difference of mean 12 hrs VAS with two groups was not statistically significant (p = 0.1260). In Balloon Dissection group, the mean 24 hrs VAS (mean±s.d.) of patients was 6.0645±0.8139. In Telescopic Dissection group, the mean 24 hr VAS (mean±s.d.) of patients was 5.6452±0.5507. Difference of mean 24 hr VAS with two groups was statistically significant (p = 0.0207). In the study comparing space creation in totally extra peritoneal (TEP) hernia repair using direct telescopic versus balloon dissection methods, both techniques were found to be effective and safe. However, balloon dissection demonstrated a slight edge in terms of ease of use and reduced operative time, making it a more efficient option for surgeons. It also resulted in fewer complications and reduced postoperative pain, contributing to a quicker recovery period for patients. On the other hand, direct telescopic dissection, while slightly more challenging and time-consuming, provided comparable outcomes in terms of hernia recurrence and overall success rates.
How to cite this article:
Arnab Naha, Soumitra Chandra and Sudip Sarkar. A Randomised Controlled Study for Comparision of Space Creation in Totally Extra Peritoneal Hernia Repair by Direct Telescopic Versus Balloon Dissection.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.2.18.532.536
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.2.18.532.536