A comparative study of laparoscopic technique versus open repair for inguinal hernia

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dc.contributor.authorUgraiah, Anilkumar B.en_US
dc.contributor.authorShyam, Sharvarien_US
dc.contributor.authorShivamalavaiah, Manoharen_US
dc.date.accessioned2020-11-18T10:05:37Z
dc.date.available2020-11-18T10:05:37Z
dc.date.issued2020-10
dc.description.abstractBackground: The repair of inguinal hernias has seen an evolution over the past few decades and more research on the same is still underway. Though laparoscopy has gained widespread acceptance in today’s era of surgery, there is still a debate between laparoscopic and open hernia mesh repair.  Methods: A randomized prospective study was conducted at a tertiary care teaching hospital to compare laparoscopic hernioplasty and Lichtenstein’s open mesh repair. The study consisted of 70 subjects with unilateral or bilateral inguinal hernia and they were randomly allocated into either group. Various parameters like duration of surgery, intra and post-operative complications, post-operative pain, recurrence, stay in the hospital and resumption of daily activities were compared.Results: Out of the 70 patients, 35 underwent laparoscopic hernioplasty and 35 underwent open hernia repair. The mean operative time for laparoscopic hernioplasty (unilateral 63.44mins, bilateral 123.80mins) was greater than open hernioplasty (unilateral 47.35mins, bilateral 90.42 mins). Post-operative complications, like wound infection, seroma formation and urinary retention were noted more in the open hernioplasty group. The mean pain score for laparoscopic hernia repair was lower than open hernia repair on postoperative day 3 and 7. The average duration of hospital stay was 3.5 days in laparoscopy group and 6 days in open group. The mean duration for resumption of daily activities was 4.8 days following laparoscopic hernioplasty and 8.1 days following open hernioplasty.Conclusions: Laparoscopic hernioplasty is more beneficial than Lichtenstein’s open hernia mesh repair as it is safer, with faster recovery, lesser post-operative complications and reduced morbidity.en_US
dc.identifier.affiliationsDepartment of Surgery, BGS Global Institute of Medical Sciences, Bengaluru, Karnataka, Indiaen_US
dc.identifier.citationUgraiah Anilkumar B., Shyam Sharvari, Shivamalavaiah Manohar. A comparative study of laparoscopic technique versus open repair for inguinal hernia. International Surgery Journal. 2020 Oct; 7(10): 3246-3250en_US
dc.identifier.issn2349-3305
dc.identifier.issn2349-2902
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/213375
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber10en_US
dc.relation.volume7en_US
dc.source.urihttps://dx.doi.org/10.18203/2349-2902.isj20204116en_US
dc.subjectInguinal herniaen_US
dc.subjectLichtenstein’s repairen_US
dc.subjectLaparoscopic hernioplastyen_US
dc.titleA comparative study of laparoscopic technique versus open repair for inguinal herniaen_US
dc.typeJournal Articleen_US
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