: No disease of human body, belonging to the province of the surgeon, requires in its treatment a better combination of accurate, anatomical knowledge with surgical skill than hernia in all its varieties. Groin hernias are the most prevalent condition presented to surgeons worldwide, with over five lakh hernia surgeries performed each year. Men have a lifetime risk of 27.0% while women have a risk of 3.0%. The meaning of hernia in Greek is bulge or budding and Latin it means rupture or tear. The hernia treatment has developed since the beginning of surgical history through different stages through the times of Greek, Romans and Egyptians. As the saying goes the history of hernia surgery is the history of surgery.
Aims and Objectives: To compare the clinical outcome of open pre peritoneal approach versus Trans inguinal Lichtenstein approach in relation to
1. Post-operative pain
2. Seroma formation
3. Wound infection
Materials and Methods: This study was prospectively conducted in the Department of General Surgery at a tertiary care teaching hospital, Over the period of 1 year, 30 cases, divided into two groups by random allocation technique. Groups A and B with 15 patients in each group
Age distribution: In the open pre peritoneal repair group, the mean age was 52.46 ± 12.29, in the Trans-inguinal Lichtenstein repair group it was 51.60 ± 15.94. • There was no statistically significant association observed with relation to • Age and Study groups as the p value calculated to be >0.05.
Conclusion: From the study it can be concluded that inguinal hernia repair with open pre peritoneal approach (Trans rectus sheath pre peritoneal approach TREPP) has resulted in better patient comfort with low post- operative pain and also few complications. There was no recurrence observed in my study, the follow up period was only 6 months.