Randomized Controlled Trial of Laparoscopic Transabdominal Preperitoneal Repair (TAPP) versus Laparoscopic Total Extraperitoneal Repair (TEP) versus Lichtenstein Open Repair for inguinal hernia in a tertiary care hospital in Nagpur

An inguinal hernia is a defect in the endo-abdominal fascia of sufficient size to allow escape of intraperitoneal or pre-peritoneal contents into the groin. Inguinal hernias usually present as a lump, with or without some discomfort, which may limit daily activities and the ability to work. They can occasionally be life-threatening if the bowel strangulates or becomes obstructed. The definitive treatment of inguinal hernia is surgery. The open Lichtenstein mesh repair of inguinal hernia has become a standard for inguinal hernia repair but the introduction of laparoscopic techniques have shown acceptable results in a number of literature. The different surgeries performed are:

1. Laparoscopic Trans Abdominal Preperitoneal Repair (TAPP):: Laparoscopic treatment procedure , in which hernia repair and mesh placement will be between the peritoneal layers.

2. Laparoscopic Total Extraperitoneal Repair (TEP):: Laparoscopic treatment procedure , in which hernia repair and mesh placement will be entirely outside the peritoneum , and cavity won’t be breached.

3. Open Lichtenstein mesh repair: Open treatment procedure , with larger scar

There are very few studies comparing laparoscopic inguinal hernioplasty with tension free open mesh hernia repair and, moreover, with Lichtenstein repair. Therefore, this study aims to to evaluate and compare the safety and efficacy of Laparoscopic (TAPP AND TEP) versus Open Repair among patients with clinically or radiologically proven Inguinal Hernia