Comparison of Outcome of Laparoscopic and Open Inguinal Hernioplasty

Authors

  • Muhammad Arif Mahmood Department of Surgery, Combined Military Hospital Multan/ National University of Medical Sciences (NUMS) Pakistan
  • Zaka ullah khan Department of Surgery, Combined Military Hospital Abbotabad / National University of Medical Sciences (NUMS) Pakistan
  • Ghaznfar Ali Department of Surgery, Combined Military Hospital Multan/ National University of Medical Sciences (NUMS) Pakistan
  • Habib ur Rehman Department of Surgery, Combined Military Hospital Multan/ National University of Medical Sciences (NUMS) Pakistan
  • Adeel Wyne Department of Surgery, Combined Military Hospital Multan/ National University of Medical Sciences (NUMS) Pakistan
  • Syed Mohsin Manzoor Department of Surgery, Combined Military Hospital Kharian / National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v74i1.9508

Keywords:

Herniorrhaphy, Hernia, Laparoscopy, Pain, Pain measurement, length of stay, Postoperative

Abstract

Objective: To determine the outcome of Open and laparoscopic Inguinal Hernioplasty.

Study Design: Comparative prospective study.

Place and Duration of Study: Department of Surgery Combined Military Hospital, Multan Pakistan, from Sep 2021 to Oct 2022.

Methodology: One hundred patients were enrolled and divided into Group-A and Group-B based on a technique used. Patents with a working diagnosis of inguinal hernia aged 13 to 90 years were included in the study. The data was collectedbfrom the participants at one week and six months post-operatively.

Results: The mean age of patients was 43.87±13.63 years. The mean operative time was 70.5±10.48 minutes. The mean hospital stay was 1.88±0.79 days. The median post-op pain at 0 hours was 2(2 – 1); at 6 hours was 4(6 – 3); at 12 hours was 5(5 – 4) and at 24 hours was 5(6-3).

Conclusion: The laparoscopic surgical technique is a wonderful addition to the surgical tool kit of a surgeon. When performed by experienced persons, there is speedy recovery and reduced hospital stay with minimal morbidity and mortality. It is highly recommended for inguinal hernioplasty.

Downloads

Download data is not yet available.

References

Aiolfi A, Cavalli M, Ferraro SD, Manfredini L, Bonitta G, Bruni

PG, et al. Treatment of Inguinal Hernia: Systematic Review and

Updated Network Meta-analysis of Randomized Controlled

Trials. Ann Surg 2021; 274(6): 954-961.

https://doi.org/10.1097/SLA.0000000000004735

Ayuso SA, Marturano MN, Katzen MM, Aladegbami BG,

Augenstein VA. Laparoscopic versus robotic inguinal hernia

repair: a single-center case-matched study. Surg Endosc 2023;

(1): 631-637. https://doi.org/10.1007/s00464-022-09368-7

Anoldo P, Manigrasso M, D'Amore A, Musella M, De Palma GD,

Milone M. Abdominal Wall Hernias-State of the Art of

Laparoscopic versus Robotic Surgery. J Pers Med 2024; 14(1): 100.

https://doi.org/10.3390/jpm14010100

Kudsi OY, Bou-Ayash N, Kaoukabani G, Gokcal F. Comparison

of perioperative and mid-term outcomes between laparoscopic

and robotic inguinal hernia repair. Surg Endosc 2023; 37(2): 1508-

https://doi.org/10.1007/s00464-022-09433-1

HerniaSurge Group. International guidelines for groin hernia

management. Hernia 2018; 22(1): 1-165.

https://doi.org/10.1007/s10029-017-1668-x

Castrini G, Pappalardo G, Trentino P, Correnti FS. The original

Bassini technique in the surgical treatment of inguinal hernia. Int

Surg 1986; 71(3): 141-143.

Bullen NL, Massey LH, Antoniou SA, Smart NJ, Fortelny RH.

Open versus laparoscopic mesh repair of primary unilateral

uncomplicated inguinal hernia: a systematic review with metaanalysis and trial sequential analysis. Hernia 2019; 23(3): 461-472.

https://doi.org/10.1007/s10029-019-01989-7

Sanford DE. An Update on Technical Aspects of

Cholecystectomy. Surg Clin North Am 2019; 99(2): 245-258.

https://doi.org/10.1016/j.suc.2018.11.005

McCormack K, Wake B, Perez J, Fraser C, Cook J, McIntosh E, et

al. Laparoscopic surgery for inguinal hernia repair: systematic

review of effectiveness and economic evaluation. Health Technol

Assess 2005 ;9(14):1-203, https://doi.org/10.3310/hta9140

Burton V, Perez AJ. Comparison of open and laparoscopic

inguinal hernia repair. Mini-invas Surg 2021; 5: 26.

Pokala B, Armijo PR, Flores L, Hennings D, Oleynikov D.

Minimally invasive inguinal hernia repair is superior to open: a

national database review. Hernia 2019; 23(3): 593-599.

https://doi.org/10.1007/s10029-019-01934-8

Pulikkal-Reghunandanan R, Ali Usman A, Basheer S, Kuttichi L,

Els Jojo J, Abdul Rasheed MF. Laparoscopic Versus Open

Inguinal Hernia Repair: A Comparative Study. Cureus 2023

;15(11):e48619. https://doi.org/ 10.7759/cureus.48619

Scheuermann U, Niebisch S, Lyros O, Jansen-Winkeln B, Gockel

I. Transabdominal Preperitoneal (TAPP) versus Lichtenstein

operation for primary inguinal hernia repair - A systematic

review and meta-analysis of randomized controlled trials. BMC

Surg 2017; 17(1): 55. https://doi.org/10.1186/s12893-017-0253-7

Colak T, Akca T, Kanik A, Aydin S. Randomized clinical trial

comparing laparoscopic totally extraperitoneal approach with

open mesh repair in inguinal hernia. Surg Laparosc Endosc

Percutan Tech 2003; 13(3): 191-195.

https://doi.org/10.1097/00129689-200306000-00010

Rathod CM, Karvande R, Jena J, Ahire MK. A comparative study

between laparoscopic inguinal hernia repair and open inguinal

hernia repair. Int Surg J 2016; 3(4): 1861-1867.

https://doi.org/10.18203/2349-2902.isj20163044

Amid PK, Chen DC. Surgical treatment of chronic groin and

testicular pain after laparoscopic and open preperitoneal

inguinal hernia repair. J Am Coll Surg 2011; 213(4): 531-536.

https://doi.org/10.1016/j.jamcollsurg.2011.06.424

van-Hanswijck de Jonge P, Lloyd A, Horsfall L, Tan R, O'Dwyer

PJ. The measurement of chronic pain and health-related quality

of life following inguinal hernia repair: a review of the literature.

Hernia 2008; 12(6): 561-569. https://doi.org/10.1007/s10029-008-

-y

Fernandez-Alberti J, Iriarte F, Croceri RE, Medina P, Porto EA,

Pirchi DE. Laparoscopic treatment (reTAPP) for recurrence after

laparoscopic inguinal hernia repair. Hernia 2021; 25(5): 1301-

https://doi.org/10.1007/s10029-020-02357-6

Peitsch WKJ. Laparoscopic transperitoneal inguinal hernioplasty

(TAPP) after radical open retropubic prostatectomy: special

Downloads

Published

28-02-2024

Issue

Section

Original Articles

How to Cite

1.
Mahmood MA, khan Z ullah, Ghaznfar Ali, Rehman H ur, Wyne A, Manzoor SM. Comparison of Outcome of Laparoscopic and Open Inguinal Hernioplasty. Pak Armed Forces Med J [Internet]. 2024 Feb. 28 [cited 2024 Dec. 22];74(1):174-8. Available from: https://pafmj.org/PAFMJ/article/view/9508