Laparoscopic Versus 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. The two techniques which can be used for hernia repair are the traditional open surgery and laparoscopic surgery. Open surgery versus laparoscopy.

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Below is a brief overview of the pros and cons of each type of hernia repair.

Laparoscopic versus open inguinal hernia repair. For example patients. In laparoscopic surgery the recovery time is faster as compared to open surgery. The mrc laparoscopic groin hernia trial group. Because the laparoscopic approach has less chronic postoperative pain and numbness fast return to normal activities and decreased incidence of wound infecti.

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. Inguinal hernia repair is a common low risk intervention. Laparoscopic versus open repair of groin hernia. 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.

In the open repair group the recurrence rate shows a consistent improvement from the beginning of the learning curve figure 1. Laparoscopic inguinal hernia surgery needs a few small incisions whereas open surgery needs a long incision. The aim of this study is to compare the outcomes of laparoscopic transabdominal preperitoneal repair tapp versus open mesh plug repair mp for bilateral primary inguinal hernia. 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.

The laparoscopic approach to inguinal hernia surgery is safe and reliable. Open surgery versus laparoscopy. General anesthesia is needed for laparoscopic repair whereas open surgery can be done under general spinal or local anesthesia. Conclusion tep and open preperitoneal repairs are similar in terms of recurrence rate and incidence of chronic pain for primary inguinal hernias.

Patient reported outcomes pros are being used increasingly as primary outcomes in clinical trials. It has a similar recurrence rate as open tension free mesh repair. Methods this was a retrospective study of 107 patients with bilateral primary inguinal hernia between january 2008 and december 2016. A hernia is a hole through the muscle layers in the abdominal wall.

Both techniques offer excellent outcomes and only differ based on a few subtle areas. Importance incisional hernia is the most frequent surgical complication after laparotomy up to 30 of all patients undergoing laparotomy develop an incisional hernia.