Quality of life of patients after laparoscopic and open hernioplasty for inguinal hernias.

Abstract: The aim of the study was to evaluate the effectiveness of laparoscopic and open hernioplasty in patients with inguinal hernias in terms of postoperative complications, recovery duration, and overall quality of life. The study was conducted in 2024 at the Regional Hospital in Osh (Kyrgyzstan). A total of 224 patients participated: 86 underwent open hernioplasty (Group 2) and 138 underwent laparoscopic surgery (Group 1). The methodology included the analysis of medical records, standardised questionnaires, assessment of pain using the visual analogue scale, hospitalisation duration, complication rates, and time to return to normal daily life. The results showed that patients who underwent laparoscopy experienced significant advantages. The average pain level in the first 48 hours after surgery was 3.2±1.1 points, compared to 5.4±1.6 in the open surgery group. The average hospital stay was 2.3 days in the laparoscopic group and 4.6 days in the open group. The complication rate (infections, seromas, haematomas) was 8% versus 18%. Full recovery and return to daily activity took 14 days after laparoscopy, compared to 28 days after open surgery. The recurrence rate within 6 months was 2% in the first group versus 7% in the second. Patients who underwent laparoscopic surgery also reported a higher level of satisfaction with the quality of life. The results could be used in clinical practice to support informed decision-making when choosing the surgical approach, with the aim of improving treatment outcomes and enhancing postoperative adaptation.