Abstract
Inguinal hernia repair is one of the most commonly performed surgical procedures worldwide. An inguinal hernia occurs due to a defect in the abdominal wall, which allows the abdominal contents to pass through it. Although the placement of mesh over the defect is the gold standard to close the defect, there are various approaches to achieving it, out of which two of the most widely accepted techniques are laparoscopic inguinal hernia repair (LIHR) and open inguinal hernia repair (OIHR). However, the approach of choice widely fluctuates with regards to various factors such as patient history, type of hernias, and surgeons' preference. It is imperative to understand the variations in outcomes of different approaches and how best they fit an individual patient in deciding the technique to be undertaken. This article has reviewed many studies and compared the two techniques in terms of chronic pain, the time required to return to activity, rate of recurrence, and cost-effectiveness.
Highlights
BackgroundGroin hernias arise from a defect in the abdominal wall and consist of inguinal and femoral hernias [1]
Inguinal hernias could be of predominantly two types - direct or indirect based on their site of herniation to the inferior epigastric vessels (IEV) and Hesselsbach's triangle [3]
We have referred to multiple studies to describe the fate of outcomes such as postoperative pain, chronic pain, the time required to return to normal activities, and complications with regards to the open approach and the laparoscopic approach
Summary
BackgroundGroin hernias arise from a defect in the abdominal wall and consist of inguinal and femoral hernias [1]. The risk escalates with age, and the frequency of hernia repair increases from 0.25% at age 18 years to 4.2% at age 75 to 80 years [2]. The first line imaging modality used is ultrasonography (USG), which helps diagnose suspected groin hernias that are not clinically evident [8,9]. Any of the two aforementioned approaches can be preferred by a general surgeon to repair an inguinal hernia and can vary according to various factors such as patient profile, operating time, complication rate, etc. This article aims to highlight the features of laparoscopic and open repair approaches for hernia repair, and compare and contrast these two approaches regarding elements like patient profile, complication rate, recurrence rate, etc
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