Comparitive Study between Laparoscopic Hernioplasty and Open Hernioplasty
Journal Title: Journal of Medical Science And clinical Research - Year 2014, Vol 2, Issue 12
Abstract
Background: A comparative study between Open and Laparoscopic Hernioplasty in the Department of General Surgery at Govt. Stanley Hospital, a Government run, 200 years old, 1280 bedded, under/post graduate and super specialty training institution, located in Chennai, Tamilnadu, the Southern part of India. Introduction: Inguinal hernia repair is one of the most common operations performed in general surgery worldwide. Every fourth man is expected to have a hernia operation during his life time. It accounts for 75% of all abdominal wall hernias. 27% of men and 3% of women have a life time risk of developing inguinal hernia. Aims: To compare Totally Extra peritoneal (TEP) Hernioplasty and Lichtenstein Open Hernioplasty in relation to primary and secondary outcome measures and determine whether laparoscopic repair of inguinal repair is equal or superior to Open Hernioplasty. Methods: The study has been carried out over a period of 4 years from 2007-2010 after obtaining approval from the hospital Ethical Committee. The study sample consist of 202 patients in each group who were repaired by Laparoscopic and Open method, respectively. Results: The study clearly favours Laparoscopic Totally Extraperitoneal Repair over Open Repair with regards to postoperative pain, hospital stay, resumption of routine physical activities and work. Conclusion: Laparoscopic repair of inguinal hernia is a safe, feasible and effective technique with less post operative pain, early return to routine activities, low recurrence rates, low post operative morbidity and low rates of wound and mesh infection in experienced hands
Authors and Affiliations
Dr. Balaji Purushotham
Keywords
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