Comparative Study between Laparoscopic versus Open Hernioplasty in Repair of Unilateral Non Recurrent Inguinal Hernia

Abstract

Background: Laparoscopic surgery has led to many changes in the management of surgical patients and significantly reduced the incidence of complications associated with open surgical procedures. At present, laparoscopic hernia repair has gained clinical significance in patients with bilateral or recurrent hernia. Objectives: The aim of this study is to compare open hernioplasty and laparoscopic hernia repair in the hospital. The present study will be performed with objectives to compare the effectiveness of laparoscopic hernia repair and open hernioplasty and to assess the intra operative and post-operative complications, duration of surgery, hospital stay, postoperative morbidity, recurrence and patient satisfaction. Patients and Methods: This was a retrospective cohort study; to evaluate and compare the open and laparoscopic techniques for inguinal hernia repair as regard post operative pain, hospital stay, operative time, seroma, urine retention, parathesia, numbness, wound infection and recurrence. Comparative studies: The 30 patients were classified according the type of operative technique into 2 groups: Group A patients underwent laparoscopic technique (15 patients), group B patients underwent open technique (15 patients). Results: The recurrence rate was non significant higher related to laparoscopic repair of primary hernias than open repair. (p value 0.105). But our sample was small, only 30 patients and the learning curve play the mean role in the recurrence rate post laparoscopic hernia. So with increasing the sample and improvement the learning curve, The Recurrence rate would be better in laparscopic technique. Conclusion: We concluded that for primary hernias, the laparoscopic technique is superior to the open technique of tension-free repair, in terms of immediate post-operative complications and delayed pain and paresthesia also in terms of safety.