Comparison of Laparoscopic Inguinal Hernioplasty with Open Inguinal Hernioplasty

Muhammad Ahmad Shafi; Irshad Ahmad; Farhan Javed; Khadija Ilyas; Zamad Hussain

doi:10.70749/ijbr.v3i3.2245

Authors

Muhammad Ahmad Shafi Department of General Surgery, University Medical and Dental College/Madina Teaching Hospital, Faisalabad, Punjab, Pakistan.
Irshad Ahmad Department of Surgery, Madina Teaching Hospital, Faisalabad, Punjab, Pakistan.
Farhan Javed Department of Surgery, Madina Teaching Hospital, Faisalabad, Punjab, Pakistan.
Khadija Ilyas Department of Surgery, Madina Teaching Hospital, Faisalabad, Punjab, Pakistan.
Zamad Hussain Department of Surgery, Madina Teaching Hospital, Faisalabad, Punjab, Pakistan.

DOI:

https://doi.org/10.70749/ijbr.v3i3.2245

Keywords:

Inguinal Hernia, Laparoscopic Hernia, Seroma.

Abstract

Overview: Repairing an inguinal hernia is a common surgical procedure. For the management of an inguinal hernia, there is no conclusive therapy. My study's findings will be useful in highlighting an improved strategy for managing inguinal hernias, reducing the likelihood of post-operative complications and promoting early recovery for patients. Materials and Methods: This randomized controlled trial was done on 150 (75 in each group) patients at Department of Surgery, Madina Teaching Hospital, Faisalabad. Patients of age ranges from 20–60 years of both genders undergoing inguinal hernioplasty for inguinal hernia were included. Recurrent irreducible and strangulated hernia, obstructed hernia, skin infections, concomitant conditions (type 2 diabetes mellitus, hypertension, coronary artery disease, or tuberculosis) were excluded. All the patients were randomly divided into two groups by using a computer-generated random number table. In group 1, patients were undergone open inguinal hernioplasty and in group 2, patients were undergone laparoscopic inguinal hernioplasty. Post-operative pain was assessed after 1st and 4th weeks of surgery. Wound seroma was assessed after 1st week of surgery. Hospital stay and return to normal activities was assessed. Results: Patients in the laparoscopic group had a statistically significant (p = 0.0001) lower mean length of hospital stay than those in the open group (1.06 ± 0.84 versus 2.43 ± 1.63 days). For laparoscopic repair, the mean days of return to normal activity was 5.57 ± 1.85, but for open repair, it was 9.51 ± 2.98 (p-value = 0.0001). There were 03 seromas (4.0%) following a week of laparoscopic hernia repair, 09 (12.0%) following a week of open hernia surgery. These differences were not statistically significant. At weeks one and four, patients who had laparoscopic surgery (6.67%) reported less post-operative pain than those who had open surgery (20.0%); this difference was statistically significant. Conclusion: Laparoscopic hernia repair is preferable over open surgery due to its reduced risk of complications, faster recovery period, and shorter hospital stay.

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