Laparoscopic versus open repair of inguinal hernia: A prospective study

Dr. Jayan Stephen; Dr. R Parameswaran Unnithan; Dr. Haris T.P

Volume : V, Issue : XII, December - 2016

Laparoscopic versus open repair of inguinal hernia: A prospective study

Dr. Jayan Stephen, Dr. R Parameswaran Unnithan, Dr. Haris T. P

Abstract :

Inguinal hernia is one of the most common surgeries done all over the world. The objective of this study is to compare Laparoscopic and open inguinal hernia repair based on postoperative pain, seroma / hematoma formation, wound infection, number of days of hospital stay and recurrence. Inguinal hernia surgeries done in Thiruvananthapuram Medical College were followed up for a period of one year from March 2015 to March 2016. Postoperative pain, wound infection, duration of hospital stay, hernia recurrence etc were taken into account to compare laparoscopic and open methods of inguinal hernia repair. Patients above the age of 18 years who gave consent were included in the study. 176 patients who were more than 18 years of age were followed up for a period of 1 year. 132 cases of open inguinal hernia repair and 44 cases of laparoscopic repair were chosen after taking consent. All cases that underwent Laparoscopic repair had General Anaesthesia and only 13.6% had postoperative pain. 20% of patients who underwent Spinal anaesthesia had postoperative pain. Postoperative pain, Seroma/ Hematoma formation and postoperative wound discharge were common in open inguinal repair. 36.4% of laparoscopic inguinal hernia repair had less than 3 days of hospital stay. Laparoscopic inguinal hernioplasty has less pain and shorter hospital stay compared to open hernioplasty even though there is no statistically significant results.