Lap Vs Open Inguinal Hernia Repair

The aim of this study was to review and meta analyse the pros in rcts comparing laparoscopic versus open inguinal hernia repair techniques in adult patients. 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. Laparoscopic inguinal hernia surgery needs a few small incisions whereas open surgery needs a long incision.

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Open surgery versus laparoscopy.

Lap vs open inguinal hernia repair. Importance incisional hernia is the most frequent surgical complication after laparotomy up to 30 of all patients undergoing laparotomy develop an incisional hernia. 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. However recurrence of hernias has been reported to occur after repair in 15 percent or more cases and postoperative pain. Surgical repair of inguinal hernias is a common procedure in adult men.

Patient reported outcomes pros are being used increasingly as primary outcomes in clinical trials. General anesthesia is needed for laparoscopic repair whereas open surgery can be done under general spinal or local anesthesia. The standard method for inguinal hernia repair had changed little over a hundred years until the introduction of synthetic mesh. A hernia is a hole through the muscle layers in the abdominal wall.

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. Infection and bleeding were more common following open repair whilst urinary retention and injury to an organ were more frequent after laparoscopic repair. For example patients. In laparoscopic surgery the recovery time is faster as compared to open surgery.

Open surgery versus laparoscopy. Inguinal hernia repair is the most frequently performed operation in general surgery. 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. This mesh can be placed by either using an open approach or by using a minimal access laparoscopic technique.

This study compares two surgical methods that approach primary inguinal hernias from the preperitoneal space. Inguinal hernia repair is a common low risk intervention. An open preperitoneal mesh repair open and a laparoscopic tep repair with respect to complications recurrences and the learning curve of each technique. 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.