Abstract
Background: Inguinal hernia repair is one of the most common surgical procedures in Bangladesh. The option of surgical treatment remains controversial. Laparoscopic hernia repair has all the benefits of a tension free repair. We aimed to compare postoperative outcome and cost between laparoscopic and open inguinal hernia repair.
 Objective: This study was conducted with an objective to compare the effectiveness of each procedure and complications if any.
 Materials and Methods: Fifty cases of inguinal hernia admitted in the tertiary care center were selected by nonprobability (purposive) sampling method. All patients with uncomplicated hernia treated by open or laparoscopic method were included. The age/sex, incidence, mode of presentation, surgical treatment and postoperative complications were evaluated and compared with standard published literature.
 Results: Postoperative wound infection developed in three cases of open hernioplasty and one case in laparoscopic surgery. Hematoma and seroma at the operated site were found in one case of laparoscopic hernioplasty and in two cases of open hernioplasty. Orchitis was more prevalent in the laparoscopic hernioplasty patient with incidence among two cases as compared to one in open group. The mean duration of hospitalization was 59.62±6.11 hours in case of laparoscopic hernioplasty while 53.33±8.26 hours in open hernioplasty. The mean duration of procedure was 72.33 minutes in laparoscopic group while 64.62 minutes in open surgery. The mean cost for the laparoscopic repair group was around taka 63000/= whereas in the open group it was around 42000/= only with significant difference. Prolonged groin pain was seen in four cases in open group as compared to one in laparoscopically operated cases.
 Conclusion: There were less post-operative complications in the laparoscopic group.
 J Enam Med Col 2020; 10(1): 17-22
Highlights
Surgical repair of inguinal hernias is a common procedure in adult men
The main aims of the study are: i) to compare the outcomes of laparoscopic inguinal repair with open repair, patient’s duration of stay, complications that occur in open inguinal hernia repair and laparoscopic hernia repair and to arrive at a conclusion, ii) to evaluate the limitations of laparoscopic inguinal hernia repair, iii) to compare between the times taken for open and laparoscopic inguinal hernia repair and iv) to compare the costing of surgery of open and laparoscopic inguinal hernia repair
Complicated hernia, bilateral hernia, associated groin conditions like hydrocele, varicocele etc, recurrence and previous surgery with mesh in the same region, patients in American Society of Anesthesiologists (ASA) class IV or class V, immunocompromised patients with malignancy were excluded
Summary
Surgical repair of inguinal hernias is a common procedure in adult men. Introduction of synthetic mesh has changed the scenario It can be placed either by open or laparoscopic techniques. Inguinal hernia repair is one of the most common surgical procedures in Bangladesh. We aimed to compare postoperative outcome and cost between laparoscopic and open inguinal hernia repair. The age/sex, incidence, mode of presentation, surgical treatment and postoperative complications were evaluated and compared with standard published literature. Orchitis was more prevalent in the laparoscopic hernioplasty patient with incidence among two cases as compared to one in open group. The mean duration of procedure was 72.33 minutes in laparoscopic group while 64.62 minutes in open surgery. Prolonged groin pain was seen in four cases in open group as compared to one in laparoscopically operated cases. Conclusion: There were less post-operative complications in the laparoscopic group
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