Prospective Randomized Blinded Study to Compare Laparoscopic and Open Inguinal Hernioplasty

Mohd Ilyas Mohd Ilyas,Venkat Vaijnath Cholleti Venkat Vaijnath Cholleti

doi:10.47008/ajs/2020.3.1.32

Mohd Ilyas Mohd Ilyas, Venkat Vaijnath Cholleti Venkat Vaijnath Cholleti

Open Access

https://doi.org/10.47008/ajs/2020.3.1.32

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Abstract

Background: Hernia is one of the common surgical problems. Repair of inguinal hernia is one of the commonest surgical procedures worldwide, irrespective of country, race or socio-economic status and constitutes a major health-care in every country. Subjects and Methods: This is a randomised prospective study done over 50 patients in the department of general surgery of Kamineni hospitals, LB Nagar, Hyderabad during the period of October 2010 to August 2012 with the aim to compare laproscopic inguinal hernia repair and open inguinal hernia repair with regards to post-operative pain, surgical site infections, hospital stay and time taken to return to work, by a randomized study. Results: Compare laparoscopic and mesh inguinal hernia repairs, there is no significant difference in early assessment with regards to duration of operation, post-operative pain, analgesic requirements on the day of surgery and first post-operative day, hospital stay, return to daily and normal activities and post-operative complications. Conclusion: Laparoscopic mesh hernioplasty still remains to be validated with larger number of patients and longer duration of follow up.

Highlights

Hernia is as protrusion of a viscus or part of viscus through a natural or acquired defect in the wall of its containing cavity. [1]“Groin hernia repair doesn’t have the glamour of whipple or of a heart transplant but in terms of preserving years of useful life, in sheer volume, is one of the most important surgical procedures”- dr
1) To compare laproscopic inguinal hernia repair and open inguinal hernia repair with regards to post-operative pain,surgical site infections,hospital stay and time taken to return to work, by a randomized study
Fifty patients of uncomplicated inguinal hernia, aged between 15-65 yrs, of either sex, were randomly selected and scheduled to undergo elective hernia repair under general or regional anaesthesia, like open mesh repair and laparoscopic mesh repair were included in this study

Summary

Introduction

Hernia is as protrusion of a viscus or part of viscus through a natural or acquired defect in the wall of its containing cavity. [1]“Groin hernia repair doesn’t have the glamour of whipple or of a heart transplant but in terms of preserving years of useful life, in sheer volume, is one of the most important surgical procedures”- dr. Gilbert (late 1980s) used a flat piece of mesh into a cone or umbrella shape to close the defect. Learning of his success with this technique, Rutkow and Robbins (1989) began using hand fashioned umbrella plugs. [7]Tension free mesh repair for inguinal hernia reported less pain, shorter hospitalization, lower recurrence and early return to work after surgery. Results: Compare laparoscopic and mesh inguinal hernia repairs, there is no significant difference in early assessment with regards to duration of operation, post-operative pain, analgesic requirements on the day of surgery and first post-operative day, hospital stay, return to daily and normal activities and post-operative complications. Conclusion: Laparoscopic mesh hernioplasty still remains to be validated with larger number of patients and longer duration of follow up.

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Results

Conclusion