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COMPARISON OF POST-OPERATIVE COMPLICATION BETWEEN LICHTENSTEIN REPAIR AND LAPAROSCOPIC TOTAL EXTRA-PERITONEAL APPROACH FOR INGUINAL HERNIA REPAIR IN CASES OF LIVER CIRRHOSIS

Dr. Ali Gohar Khan, Dr. Amjad Ali, Dr. Syed Muhammad shah

Objective: To compare the post-operative complication between lichtenstein repair and laparoscopic total extra-peritoneal approach for inguinal hernia repair in cases of liver cirrhosis Material and methods: This randomized controlled trial was conducted at Department of Surgery Fauji Foundation Hospital Peshawar from July 2018 to December 2018 over the period of 6 months. Total 90 patients with inguinal hernia and liver cirrhosis were selected. Post-operative outcome was compared between the both groups. Results: In present study, total 90 patients were recruited. Mean age of the patients managed with open method was 36.01 years in Lap group was 37.82 years. Out of 90 patients, 80 (89%) were male and 10 (11%) were females. Total 81 (90%) patients found with child pugh class-I and 9 (10%) with child pugh class II and no patients found child pugh class III. Statistically significant difference of post-operative complications between the both groups was observed. Conclusion: Results of present study showed higher number of male patients with liver cirrhosis undergone inguinal hernia repair as compared to female patients. Persisting groin pain and numbness was most common complication in open group as compared to laparoscopic group. Statistically significant lower rate of post-operative complications was observed in laparoscopic group as compared to open group. Keywords: Inguinal hernia, Liver cirrhosis, Lichtenstein repair, Laproscopic TEP repair.

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