A Comparative Study of Lichtenstein's Tension-Free Hernioplasty and Laparoscopic Hernia Repair

Background: Inguinal hernia repair is one of the most common surgical procedures worldwide. Despite advancements, the ideal surgical technique continues to be debated. This study compares Lichtenstein's tension-free hernioplasty (open repair) and laparoscopic hernia repair in terms of operative parameters, complications, recovery, and patient satisfaction. Methods: A prospective, non-randomized study was conducted involving 80 patients with inguinal hernias, of which 40 underwent Lichtenstein's open mesh repair and 40 underwent laparoscopic repair. Data collected included operative time, postoperative pain (VAS score), complications, duration of hospital stay, return to routine activities, recurrence, and patient feedback. Results: Laparoscopic repair had longer operative time (81 min vs. 51 min) but shorter hospital stay (4 days vs. 7 days), earlier return to daily activity (7 days vs. 15 days), and lower recurrence (0% vs. 5%). Postoperative pain and complications were also significantly lower in the laparoscopic group. Patient satisfaction was higher with laparoscopic repair. Conclusion: Laparoscopic repair offers superior shortterm outcomes and improved patient experience, albeit at higher cost and surgical expertise requirements. Open repair remains a viable option, particularly in resource-limited settings.