Comparative study of laparoscopic and conventional (Lichtenstein tension free) inguinal hernia repair in a tertiary care institute


  • Nitish Dhawan Department of Surgery, Maharishi Markandeshwar Institute of Medical Sciences, MM Deemed to be University, Mullana, Ambala, Haryana, India
  • Kirti Savyasacchi Goyal Department of Surgery, Maharishi Markandeshwar Institute of Medical Sciences, MM Deemed to be University, Mullana, Ambala, Haryana, India
  • Tejinder Pal Singh Sodhi Department of Surgery, Maharishi Markandeshwar Institute of Medical Sciences, MM Deemed to be University, Mullana, Ambala, Haryana, India
  • Manu Chaudhary Department of Surgery, Kalpana Chawla Medical College, Karnal, Haryana, India



Lichtenstein repair, Laparoscopic hernia repair, TAPP, TEP


Background: Inguinal hernia repair is the most frequently performed operation in general surgery. The standard method for inguinal hernia repair had changed little over a hundred years.

Methods: Present study was conducted on 60 patients having inguinal hernia and were operated by two different methods i.e. Lichtenstein tension free inguinal hernia repair (Group A) and laparoscopic hernia repair (Group B). Aim of the study conducted was to compare the various observations and complications in post-operative period.

Results: There was no statistically significant difference in the age group, side and type of hernia in the two groups. Laparoscopic repair was a longer procedure than Lichtenstein inguinal hernia repair and it was statistically significant (p<0.05). Postoperatively urinary retention was the most common complication in Group A. Other complications were genital oedema (13.33%), haematoma (13.33%), seroma (13.33%) and wound infection (6.67%) which led to increased post-operative hospital stay. In Group B, pneumoscrotum was the most common complication. Other complications included subcutaneous emphysema (6.67%) and seroma (6.67%).

Conclusions: Lichtenstein tension free inguinal hernia repair is safe, efficient and cheaper procedure with no extra equipment being required while Laparoscopic repair takes more time, laparoscopic equipment and training in minimal access surgery. 


Mudge M, Hughes LE. Hernia: A 10 year prospective study of incidence and attitudes. Br J Surg. 1985;72(1):70-1.

Rutkow IM. Demographic and socioeconomic aspects of hernia repair in the United States in 2003. Surg Clin North Am. 2003;83(5):1045-51.

Rosenberg J, Bisgaard T, Kehlet H, Wara P. In. Danish Hernia Database recommendations for the management of inguinal and femoral hernia in adults. Dan Med Bull. 2011;58(2).

Spencer Netto F, Quereshy F, Camilotti BG, Pitzul K, Kwong J, Jackson T, et al. Hospital costs associated with laparoscopy and open inguinal herniorrhaphy. JSLS. 2014;18(4).p2:e2014.00217.

Cawich SO, Mohanty SK, Bonadie KO, Simpson LK, Johnson PB, Shah S, et al. Laparoscopic Inguinal Hernia Repair in a Developing Nation:Short-term Outcomes in 103 Consecutive Procedures. J Surg Tech Case Rep. 2013;5(1):13-7.

Heikkinen TJ, Haukipuro K, Leppala J, Hulkko A. Total cost of laparoscopic and Lichtenstein inguinal hernia repairs:A randomized prospective study. Surg Laparosc Endosc. 1995;7:1-5.

Schrenk P, Woisetschlager R, Rand R, Wayand W. Prospective randomized trial comparing postoperative pain and return to physical activity after trans abdominal preperitoneal, total preperitoneal or Shouldice technique for inguinal hernia repair. Br J Surg. 1996;83:1563-6.

Kald A, Anderberg B, Smedh K, Karlsson M. Transperitoneal or totally extraperitoneal approach in laparoscopic hernia repair:Results of 491 consecutives herniorrhapies. Surg Laparosc Endosc. 1997;7(2):86-9.

Subwongcharoen S. Outcome of inguinal hernia repair totally extraperitoneal laparoscopic hernia repair versus open tension freee repair (Lichtenstein technique). J Med Assoc Thai. 2002;85(10):1100-4.

Colak T, Akca T, Kanik A, Aydin S. Randomised clinical trials comparing laparoscopic totally extraperitoneal approach with open mesh repair in inguinal hernia. Surg Laparosc Endosc Percutan Tech. 2003;13(3):191-5.

Liem MSL, Stennsel CJV. Comparison of conventional anterior surgery and laparoscopic surgery for inguinal hernia repair. N Eng J Med. 1997;336:541-7.






Original Research Articles