Comparative Study between Open and Laproscopic Inguinal Hernia Repair

Background: Inguinal hernia is a common surgical problem around the globe. The prevalence of the inguinal hernia is notably higher in males. Recently, laparoscopic hernia repair has become more popular, with the decreased frequency of chronic post-operative pain. This study aims to distinguish between open and laparoscopic approaches to inguinal hernia surgery. Methods: This prospective observational study included 47 inguinal hernia patients from the In-patient ward of General Surgery of Raipur Institute of Medical Sciences, Raipur, Chhattisgarh. Visual analog scales (VAS) were used for post operative pain assessments. All the statistical analysis were done by using SPSS software version 24.0, and p-value less than 0.05 was considered as significant. Results: In present study, among the 47 patients, the majority of patients were from ages group 50 to 60 years, and mean age was 49.07 (?12.95) years. Findings revealed that the average time taken to complete a laparoscopic hernia repair (105.3 ?16.2 mins) was significantly higher (p-value < 0.001) compared to open hernia repair (27.5 ? 6.9 mins). The mean postoperative pain scores (VAS) were found more with open hernia repair compared to laparoscopic procedure. The time taken for return to work was earlier in patients treated with laparoscopic hernia repair (4 days) compared to open surgery (7 days). Conclusions: Study concluded that laparoscopic hernia repair has been found to be superior to open surgery in term post-operative discomfort, and an earlier return to work. To evaluate chronic discomfort and recurrence rates after laparoscopic hernia repair, further studies and follow-up are required.