Key result
Laparoscopic hernioplasty linked to fewer complications but longer hospitalization and higher costs vs open repair.
Why the study?
The option of surgical treatment for inguinal hernia repair remains controversial, with a need to compare postoperative outcomes and costs between laparoscopic and open repair.
Does laparoscopic inguinal hernia repair improve postoperative outcomes and reduce complications compared to open repair in patients with uncomplicated inguinal hernia?
Observational (n=50)
No
Does laparoscopic inguinal hernia repair improve postoperative outcomes and reduce complications compared to open repair in patients with uncomplicated inguinal hernia?
Laparoscopic inguinal hernia repair is associated with fewer postoperative complications but higher costs compared to open repair.
Answers are grounded in this paper and cite their sources.
Laparoscopic repair was associated with fewer complications yet longer stays and higher costs; leaves open optimal selection pending randomized trials.
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
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Momen et al. (2020) conducted an observational in Inguinal hernia (n=50). Laparoscopic inguinal hernioplasty vs. Open inguinal hernioplasty was evaluated on Duration of hospitalization (hours) (p=0.004). Laparoscopic inguinal hernioplasty resulted in fewer postoperative complications but required a significantly longer duration of hospitalization (59.62 vs 53.33 hours) and higher costs compared to open repair.
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