Assessment and comparison of laparoscopic hernia repair versus open hernia: a non-randomized study
DOI:
https://doi.org/10.18203/2349-2902.isj20180823Keywords:
Hernia, Laparoscopic, Non-randomized, PainAbstract
Background: Hernia is the abnormal exit of an organ or fatty tissue, such as the bowel, through the wall of the cavity in which it normally resides. Repair of inguinal hernia is one of the common surgical procedures done worldwide. Present study was performed with an aim to compare the effectiveness of laparoscopic hernia repair and Lichtenstein’s hernioplasty and to know for any special pre-operative/ intra operative requirements for surgery.
Methods: Present study is a non-randomized comparative study. The study consisted 50 patients treated with Hernioplasty (20 cases of laparoscopic hernioplasty and 30 cases of open hernioplasty in the Department of General Surgery, during the study period of one year. Data were collected using a questionnaire.
Results: Mean operating time in group A was 92.25 minutes while in group B was 43.5 minutes, which is significantly supplementary. Pain score was significantly less in group A with 75% patients giving score 1-2 (mild pain) and 3 patients with discomforting pain with p<0.05.
Conclusions: laparoscopic pre-peritoneal mesh repair of inguinal hernia is safe and efficacious and offers definitive advantages over open mesh repair and should be an available option for all patients requiring elective Hernioplasty.
References
Simons MP, Aufenacker ET, Bay-Nielsen M. European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia. 2009;13:343-403.
Bittner R, Arregui ME, Bisgaard T. Guidelines for laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal Hernia. Surg Endosc. 2011;25:2773-843.
Treadwell J, Tipton K, Oyesanmi. Surgical options for inguinal hernia: comparative effectiveness review. Comparative effectiveness review. Available at: www.effectivehealthcare.ahrq.gov/reports/final.cfm. Accessed August, 2015.
Amid PK, Shulman AG, Lichtenstein IL. Critical scrutiny of the open “tension free” hernioplasty. Am J Surg. 1993;165: 369-71.
McNally MP, Byrd KA, Duncan JE, Shepps CD. Laparoscopic versus open inguinal hernia repair: expeditionary medical facility Kuwait experience. Military medicine. 2009 Dec 1;174(12):1320-3.
Mahesh GS. Laparoscopic Versus Open Mesh Repair for Inguinal Hernia. Indian Journal of Research. 2015;11:104-6.
Bobo Z, Nan W, Qin Q, Tao W, Jianguo L, Xianli H. Meta-analysis of randomized controlled trials comparing Lichtenstein and totally extraperitoneal laparoscopic hernioplasty in treatment of inguinal hernias. J Surg Res. 2014 Dec 1;192(2):409-20.
Pisanu A, Podda M, Saba A, Porceddu G, Uccheddu A. Meta-analysis and review of prospective randomized trials comparing laparoscopic and Lichtenstein techniques in recurrent inguinal hernia repair. Hernia. 2015 Jun 1;19(3):355-66.
Smink DS, Paquette IM, Finlayson SR. Utilization of laparoscopic and open inguinal hernia repair: a population-based analysis. J Laparoendosc Adv Surg Tech. 2009 Dec 1;19(6):745-8.
Snehal, F. Laparoscopic versus Open repair of inguinal hernia. World J Laparosc Surg. 2008;1(1):41-8.
Felix E, Harbertson N, Vartanian S. Laparoscopic hernioplasty. Surg Endosc. 1999;13:328-31.
Kumar S. Chronic pain after laparoscopic and open mesh repair of groin hernia. Br J Surg. 2002;89(11):1476-9.
Schmedt CG, Sauerland S, Bittner R. Comparison of endoscopic procedures vs Lichtenstein and other open mesh techniques for inguinal hernia repair: a meta-analysis of randomized controlled trials. Surg Endosc. 2005;19:188-99.
DeLoach LJ, Higgins MS, Caplan AB, Stiff JL. The VAS in the immediate post-operative period: Intrasubject variability and correlation with a numeric scale. Anesth Analg. 1998;86:102-6.
McCormack K, Scott NW, Go PM, Ross S, Grant AM. EU Hernia Trialists Collaboration. Laparoscopic techniques versus open techniques for inguinal hernia repair. Cochrane Database Syst Rev. 2003;(1):CD001785.
Memon MA, Cooper NJ, Memon B, Memon MI, Abrams KR. Meta-analysis of randomized clinical trials comparing open and laparoscopic inguinal hernia repair. Br J Surg. 2003;90(12):1479-92.
Bittner R, Schmedt CG, Schwarz J, Kraft K, Leibl BJ. Laparoscopic transperitoneal procedure for routine repair of groin hernia. Br J Surg. 2002;89(8):1062.
McIntosh E. Cost-utility analysis of open versus laparoscopic groin hernia repair: results from a multicentre randomized clinical trial. Br J Surg. 2001 May 1;88(5):653-61.
