A PROSPECTIVE  STUDY FOR COMPARISON  OF LICHTENSTEIN‘S TENSION FREE OPEN INGUINAL HERNIA REPAIR versus LAPAROSCOPIC INGUINAL HERNIA REPAIR

Dr. Divyesh Jayesh kumar Pathak; Dr.Jaypalsinh Ashoksinh Gohil; Dr. Hiren P Vaidya

Volume : IV, Issue : IX, September - 2015

A PROSPECTIVE STUDY FOR COMPARISON OF LICHTENSTEIN‘S TENSION FREE OPEN INGUINAL HERNIA REPAIR versus LAPAROSCOPIC INGUINAL HERNIA REPAIR

Dr. Divyesh Jayesh Kumar Pathak, Dr. Jaypalsinh Ashoksinh Gohil, Dr. Hiren P Vaidya

Abstract :

HERNIA can be defined as ‘abnormal protrusion of a part or whole of viscus through a normal or an abnormal opening in the wall containing it. The present study was conducted for comparison of advantages and disadvantages of open modified Lichtenstein hernia repair and laparoscopic hernia repair. Study is done to compare the operative time between laparoscopy and other procedures, the duration of pain, post–operative hospital stay, intraoperative and postoperative complications, recurrence rate in each group. The Study of 100 cases of laparoscopic and Lichtenstein open hernia repair was carried out in the Department of Surgery, SMIMER. Total 100 cases were divided in two groups of 50 cases each with random table method. The operative time in Lichtenstein tension free repair is significantly less than that of Laparoscopic repair. Amplitude of pain in postoperative period at 12, 24, 72 hours and Post–operative hospital stay and Duration of return to daily normal activities are significantly less in Laparoscopic repair method group as compared to Lichtenstein repair. Both the groups have similar intraoperative and post–operative complications and recurrence rate. Thus, Laparoscopic repair is comparatively a better procedure in terms of duration of hospital stay, postoperative pain, postoperative complications and early return to normal activity as compared to Lichtenstein’s tension free repair.