A PROSPECTIVE COMPARATIVE STUDY OF LAPAROSCOPIC (TEP) AND OPEN(LICHTENSTEIN) INGUINAL HERNIA REPAIR
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Keywords
Laparoscopic repair, lichtenstein method, Inguinal hernia, hernioplasty
Abstract
Background: Laparoscopic inguinal hernia repair has emerged as a viable alternative to the open procedure. But laparoscopic hernia repair is technically difficult and has long learning curve than open repair. However, laparoscopic hernioplasty by totally extraperitoneal repair (TEP) technically eliminates the hazards of intra operational injuries. The present study was undertaken to compare the effectiveness of laparoscopic repair (TEP) Vs open (Lichtenstein Method) repair of inguinal hernia.
Methods: This prospective study was conducted in the Department of General Surgery, DR KNSMIMS, GADIA, BARABANKI,UP, INDIA., from June 2024 to May 2025, in a tertiary referral hospital. In this prospective observational study of 100 patients including unilateral, bilateral, direct and indirect inguinal hernia and excluding obstructed and strangulated hernia, 60 patients underwent open repair (Group B) and 40 patients underwent laparoscopic hernia repair (group A). Pain analysis was done with visual analogue scale.
Results: Demographic characteristics such as age, sex of the two groups were similar. Mean operative time in laparoscopic group ( TEP-A) was 95.21±25.22 minutes and in open group (Lichtenstein-B) was 70.87±26.42 minutes (p<0.001). There was statistically significant difference in mean pain score of laproscopic verses open techniques (p<0.001). Urinary retention was the most common post-operative complication in both groups but was statistically not significant. Mean hospital stay in laparoscopic group was 2.10±0.40 days and in open group was 3.3±0.70 days. Mean time taken to return to usual activity in open repair was 31.9±14.55 days and in laparoscopic group was 15.33±8.37 days . Postoperative complication rate was 33.54% in the group A and 40.17% in group B.
Conclusions: This study showed that in laparoscopic repair of inguinal hernia patients have less post-operative pain, shorter hospital stays,lesser analgesic dose requirement, early resumption of normal activity and better quality of life in consideration with bodily pain. However, the laparoscopic technique had longer operative time duration.
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DR. GURASHISH SINGH GULATI
Pg Resident-3, Department Of General Surgery, Dr Knsmims, Gadia, Barabanki,Up, India.
DR SANJEET KUMAR
Pg Resident-3, Department Of General Surgery, Dr Knsmims, Gadia, Barabanki,Up, India;
DR RAVI SINHA
Professor & Hod, Department Of General Surgery, Dr Knsmims, Gadia, Barabanki,Up, India;