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Comparative Studies | Surgery | India | Volume 12 Issue 5, May 2023

Comparative Analysis of Laparoscopic vs Open Inguinal Hernia Approach for Repair of Recurrent Bilateral Inguinal Hernia

Dr. Prashik Meshram | Dr. Charmi Patidar | Dr. Karan Dholu

Abstract: Background: Inguinal hernia repair is one of the most frequently performed surgery. The ideal procedure for recurrent bilateral inguinal hernia repair remains controversial. Open Lichtenstein tension - free mesh repair is one of the most preferred open techniques with satisfactory outcomes. Laparoscopic approach in inguinal hernia surgery remains controversial, especially in comparison with open procedures. In this study, we have reported a comparison of laparoscopic total preperitoneal (TAPP) inguinal hernia repair with Lichtenstein tension - free mesh repair . Postoperative pain, operative time, complications like seroma, wound infection, chronic groin pain, and recurrence rate were parameters to evaluate the outcome. Methods: 52 patients were included in the study by randomized prospective sampling. The patients were assigned to one of the two groups: the Lichtenstein group A or the laparoscopic TAPP group B. The procedures were performed by experienced surgeons. Following outcomes were considered for evaluation - operative time, complications like seroma, infection, and chronic groin pain. Results: The postoperative complications like chronic groin pain were observed in 12 patients (42.85%) in Lichtenstein repair group A, which was more as compared to 3 patients (22%) in laparoscopic TAPP repair group B. Seroma formation was seen in 2 patients (7.14%) in Lichtenstein repair group A and 3 patients (10.71%) in laparoscopic TAPP repair group. Conclusion: The laparoscopic method is characterized by less postoperative pain and a quicker return to work. Hence should be preferred for the treatment of recurrent inguinal hernias that are developed after the application of the conventional (non - mesh) methods. However, if there are any contraindications for the laparoscopy approach, Lichtenstein surgical intervention would be highly recommended in such cases.

Keywords: Inguinal hernia, Laparoscopy, laparoscopic TEP, Lichtensteinmesh repair

Edition: Volume 12 Issue 5, May 2023,

Pages: 34 - 36