To Analyse and Compare the Operative Complications of total Extra Peritoneal Inguinal Hernia Repair with Drain and total Extra Peritoneal Inguinal Hernia Repair without Drain

The prospective comparative study compared the operative complications of laparoscopic total extraperitoneal hernioplasty with drain and total extraperitoneal hernioplasty without drain for inguinal hernia which was carried out in our rural tertiary health care centre of central India in department of surgery. Both groups were evaluated and compared for complications seroma, hematoma, urinary retention, scrotal oedema, mesh infection, drain site infection, post-operative pain at 24 hours, 7 days and 1 month after surgery and recurrence.

A total of 106 cases of inguinal hernia repair were studied between the period of January 2020 to June 2021 of which 57 were operated for laparoscopic total extraperitoneal hernia repair without drain placement and 49 were operated for laparoscopic total extraperitoneal hernia repair with drain placement.

Our finding were seroma formation was more in laparoscopic total extraperitoneal inguinal hernia repair without drain placement than laparoscopic total extraperitoneal inguinal hernia repair with drain placement and the difference was statistically significant. Mean VAS score for postoperative groin pain at 24 hours, 7 days and 1 month were more in laparoscopic total extraperitoneal inguinal hernia repair with drain placement than in laparoscopic total extraperitoneal inguinal hernia repair without drain placement hence, we can say that laparoscopic total extraperitoneal inguinal hernia repair without drain placement was less painful in terms of postoperative pain.

The P-value for other parameters like urinary retention, hematoma, scrotal oedema, mesh infection, drain site infection was >0.005 which was statistically not significant (P>0.005).

Thus, from present study we concluded that, the laparoscopic total extraperitoneal inguinal hernia repair with drain placement was safer but slightly more painful and having lesser complications than the laparoscopic total extraperitoneal inguinal hernia repair if a trained surgeon with optimum experience in laparoscopic surgery was available.