European Journal of Molecular & Clinical Medicine

Abstract

Aim: The aim of the study at comparing the outcome of laparoscopic (TAPP mesh repair) and open hernia repair with respect to the duration of surgery, intra and postoperative complications, postoperative pain, recurrence, stay in the hospital and resumption of daily activities.
Methods: A comparative study was conducted in the Department of General Surgery, IGIMS, Patna, Bihar, India from feb 2020 to Jan 2021 to compare laparoscopic hernioplasty and Lichtenstein’s open mesh repair. The study consisted of 130 patients 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 130 patients, 30 had bilateral inguinal hernia and the rest 100 had unilateral. 19 patients with bilateral hernia underwent laparoscopic repair and 11 underwent open mesh repair. 46 patients with unilateral hernia underwent laparoscopic hernioplasty and 54 underwent open mesh repair. The mean operative time for unilateral open hernioplasty was 46.45 mins and bilateral was 87.16 mins whereas, for unilateral laparoscopic hernioplasty it was 63.38 mins and bilateral was 121.35 mins. Intra-operative complications like injury to spermatic cord, vessels and bowel were nil in both laparoscopic and open hernioplasty groups. But, post-operative complications, like wound infection was noted in 13.85% (9 out of 65 patients) and 16.92% had seroma formation (11 out of 65 patients) in the open hernioplasty group. In laparoscopic hernioplasty group3.08% (2) had wound infection but, seroma formation was noted in 12.31% (8 out of 65 patients). Urinary retention was noted 18.46 % of open hernioplasty group (12 out of 65) and 61.54% of laparoscopic hernioplasty group (4 out of 65 patients).
Conclusions: Laparoscopic hernia repair is safe and provide less postoperative morbidity in experienced hands compared to open hernia repair.