An Early Experience with Totally Extra-Peritoneal Inguinal Hernia Repair from a Teaching Institute from Kashmir Valley

Objective: To present the observations from an early experience with the TEP hernia repair with regard to feasibility, technical difficulties, operating time, conversion rate and early recurrence.

Methods: The study was conducted in the Post Graduate Department of General and Minimal and Access Surgery from June 2012 to June 2016. 70 patients, all men having inguinal hernias were operated using Totally Extra peritoneal mesh hernioplasty and various Aims and Objectives of the study observed. The outcome of 70 patients operated by TEP technique was collected 1 year after last patient was operated in the study group.

Results: All patients were men with a median age of 52 years ranging from 20 -80 years. The maximum operating was 90 minutes while minimum was 30 minutes. The conversion rate was 2.8% and recurrence rate was 2.8%. Complication noted was seroma formation

Conclusion: Since all the patients were operated by a single surgeon, skilled in laparoscopic surgery, the study revealed relatively reduced level of complications. We also feel that TEP is relatively a difficult procedure for the beginners and requires a steep learning curve.