COMPARATIVE STUDY OF LAPAROSCOPIC CONGENITAL INGUINAL HERNIA REPAIR V/S OPEN CONGENITAL INGUINAL HERNIA REPAIR

Dr. Surendra Pathak; Dr. Juhi Singhal; Dr. Nrapendra  Sharma; Dr. Vijay Anand

Volume : V, Issue : III, March - 2016

COMPARATIVE STUDY OF LAPAROSCOPIC CONGENITAL INGUINAL HERNIA REPAIR V/S OPEN CONGENITAL INGUINAL HERNIA REPAIR

Dr. Surendra Pathak, Dr. Juhi Singhal, Dr. Nrapendra Sharma, Dr. Vijay Anand

Abstract :

Background: Inguinal hernia repair in one of the most common surgical procedures in the pediatric population. Its repair is usually performed by open surgery and with low complications rates. Recently, the introduction of laparoscopic repair seems to play a significant role regarding the safety, the examination and the better cosmetic result. This article aimed to compare laparoscopic versus open congenital inguinal hernia repair. Method: A prospective study was done on patients undergoing congenital inguinal hernia repair between March 2014 to March 2015 with the follow up of 6 months. Results: Eighty Patients of congenital inguinal hernia (uncomplicated) were included in this study. They were divided into two groups. In group A, 40 patients were operated by laparoscopic repair and in Group B, 40 patients were operated by conventional herniotomy . All patients were operated under general anesthesia. Maximum patient 45 (56.25%) were found among 0–5 years of age group, while only 14(17.5%) among 11–16 yrs of age group. 73 patients were male and 7 patients were female, ratio 9 :1Right side of congenital hernias were more common, 49 cases (61.25%)than of left side 24 cases (30%).Average operative time was more for Group A patients, i.e.; 44.5 minutes while in Group B it was 35.5 minutes. Mean time to allow patients orally after, operation was almost equal in both groups. Group A patients required analgesic for less number of days than Group B patients (1.4 days versus 3 days) post operatively. Hospital stay was shorter for Group A patients in comparison to Group B patients (1.1 days versus 2 days).In Group A patients resumed their normal activities before than Group B Patients (1.2 days versus 2 days).In group A post operative recurrence was seen in 1 case out of 40, which account for 2.5 % . In group B post operative recurrence was seen in 2 cases out of 40 which account for 5%. Conclusion: Laparoscopic congenital hernia repair is an effective method to correct inguinal hernia. Laparoscopic hernia repair is easy for experienced Laparoscopist . Bilaterality is of no concern, cosmesis is superb. For recurrence the technique is preferable than open technique because one enter through normal anatomy