A Comparison of Minimum Invasive Surgery versus Open Surgery for Abdominal and Groin Hernias

Abstract

Background: Inguinal hernia repair is one of the most commonly performed general surgery operations. The present study compared minimum invasive surgery versus open surgery for abdominal and groin hernias.

Materials & Methods:60 patients of abdominal and inguinal hernia of both genders were divided in two groups. Group I was laparoscopy group and group II was conventional open group. In both groups, intra-operative, and postoperative criteria, the type of surgical procedure, type of applied mesh, duration of surgery and hospitalization were evaluated.

Results: Group I had 20 males and 10 females and group II had 16 males and 14 females. Surgical procedure performed was TAPP in 30 in group I and lichtenstein procedure in 17 and tension-free mesh plug in 13 patients in group II. Mesh type used was parletex in 18 and progrip in 12 in group I and prolene in 30 in group II. Duration of surgery (minutes) was 82.5 and 72.9 and hospital stay (days) was 3.1 and 4.6, number of recurrences was 2, pain score (mean) was 4.3 and 7.5, return to work (weeks) was 2.7 and 3.4 and restart of physical activities (weeks) was 5.1 and 6.3 in group I and II respectively.

Conclusion: Laparoscopic technique of hernia repair was better as compared with open repair.