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ORIGINAL ARTICLE
Year : 2020  |  Volume : 26  |  Issue : 2  |  Page : 158-162

Comparative study of laparoscopic mesh repair and lichtenstein's open mesh repair for inguinal hernia


Department of Surgery, Lourdes Hospital, Kochi, Kerala, India

Correspondence Address:
Dr. Sooraj Sankar
Department of General Surgery, Lourdes Hospital, Pachalam, Kochi - 682 012, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ksj.ksj_4_20

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Background: Hernias are among the oldest known afflictions of humankind, and surgical repair of the inguinal hernia is one of the most common general surgery procedure performed today. Despite the high incidence, the technical aspects of hernia repair continue to evolve. We conducted a unicentric prospective study to compare the outcome of laparoscopic mesh repair and open Litchtenstein's mesh repair. Methods: We included a total of 80 cases who were diagnosed to have uncomplicated inguinal hernia and underwent surgical management electively for the same. They were randomized into both open or laparoscopic repair groups and results compared. Results: Among the 2 groups, the laparoscopic repair group had significantly low early post operative pain, low complication rate, early return to work and better cosmetic outcome. However, late post operative pain and duration of hospital stay did not show any significant difference between the two groups. Conclusion: Laparoscopic hernia repair offer significant advantages in terms of early post operative pain, early return to work and better cosmetics. But, in 2020, it still accounts for the minority of hernia repairs performed in India because of increased operative times, increased costs, and a longer learning curve. In addition are concerns about the need to use general anesthesia for laparoscopic operations. To summarize, there is no universal repair for groin hernia and no two surgeons will disagree to agree on that point.


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