Inguinal Hernia Laparoscopic Vs Open
Therefore surgery can be performed from either the abdominal side as in the laparoscopic approach or through the skin as in a traditional open approach.
Inguinal hernia laparoscopic vs open. Tension free inguinal hernia repair. Both techniques offer excellent outcomes and only differ based on a few subtle areas. Reoperation for another inguinal hernia was more common after laparoscopic 4 0 than after open repair of primary inguinal hernia 2 1 mostly in the first year after surgery. In this study we compared laparoscopic inguinal hernia repair lhr and rhr with open inguinal hernia repair ohr in veteran patients performed by surgeons most familiar with each approach.
A hernia is a hole through the muscle layers in the abdominal wall. The two techniques which can be used for hernia repair are the traditional open surgery and laparoscopic surgery. Infection and bleeding were more common following open repair whilst urinary retention and injury to an organ were more frequent after laparoscopic repair. The open mesh versus laparoscopic mesh repair of an inguinal hernia trial is the largest trial available that sought to address the question of whether a laparoscopic approach offered an equivalent recurrence rate compared to an open approach.
Objective to compare laparoscopic vs open ventral incisional hernia repair with regard to postoperative pain and nausea operative results perioperative and postoperative complications hospital admission and recurrence rate. 743 752. Importance incisional hernia is the most frequent surgical complication after laparotomy up to 30 of all patients undergoing laparotomy develop an incisional hernia. For most patients the open operation is more painful both in the short and long term when compared with laparoscopic inguinal hernia repair.
Below is a brief overview of the pros and cons of each type of hernia repair. In laparoscopic surgery the recovery time is faster as compared to open surgery. The rate of recurrence of the hernia after the surgery is about the same for the open and laparoscopic inguinal hernia repairs. General anesthesia is needed for laparoscopic repair whereas open surgery can be done under general spinal or local anesthesia.
Neumayer l jonasson o fitzgibbons r et al. Laparoscopic inguinal hernia surgery needs a few small incisions whereas open surgery needs a long incision.