Inguinal Hernia Open Vs Laparoscopic

Laparoscopic inguinal hernia surgery needs a few small incisions whereas open surgery needs a long incision. 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. General anesthesia is needed for laparoscopic repair whereas open surgery can be done under general spinal or local anesthesia.

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Inguinal hernia open vs laparoscopic. The two techniques which can be used for hernia repair are the traditional open surgery and laparoscopic surgery. The design of a trial to compare open and laparoscopic surgical techniques. A retrospective single institution analysis of 1299 inguinal hernia repairs performed at the va north texas health care system between 2005 and. 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.

Importance incisional hernia is the most frequent surgical complication after laparotomy up to 30 of all patients undergoing laparotomy develop an incisional hernia. Both techniques offer excellent outcomes and only differ based on a few subtle areas. J am coll surg 2003 196. Inguinal hernia repair is the most frequently performed operation in general surgery.

Inguinal hernia is one of the most common conditions seen in clinic and is often treated through the general surgery department laparoscopic repair and open repair with mesh are the typical treatments for inguinal hernia and both regimens have proved beneficial in treating inguinal hernia however recurrence with a rate as high as 33 poses a significant problem to the. In laparoscopic surgery the recovery time is faster as compared to open surgery. Methods using a prospective database we analyzed data for preperitoneal open and tep unilateral or bilateral non recurrent inguinal hernia repairs performed between november 2005 and august 2012 by a single surgeon. 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.

Neumayer l jonasson o fitzgibbons r et al. 271 patients were included in the open group and 69 in the tep group. The standard method for inguinal hernia repair had changed little over a hundred years until the introduction of synthetic mesh. 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.

Tension free inguinal hernia repair. Below is a brief overview of the pros and cons of each type of hernia repair. This mesh can be placed by either using an open approach or by using a minimal access laparoscopic technique. A hernia is a hole through the muscle layers in the abdominal wall.