Journal of Nobel Medical College Teaching Hospital


Vol. 7 No. 2

Comparative study of laparoscopic hernia repair versus open hernia repair

Rohit Prasad Yadav Department of General Surgery
Nobel Medical College Teaching Hospital, Biratnagar, Nepal
Dipendra Thakur Department of General Surgery,
Nobel Medical College Teaching Hospital, Biratnagar
Bashu Dev Baskota Department of General Surgery
B & C Medical College Teaching Hospital and Research Center, Birtamod
Amit Kumar Shah Department of General Surgery
B & C Medical College Teaching Hospital and Research Center, Birtamod
Kaushal Samsher Thapa Department of General Surgery,
Nobel Medical College Teaching Hospital, Biratnagar
Sakar Babu Gharti Department of General Surgery
Nobel Medical College Teaching Hospital, Biratnagar
Tags : Inguinal, Hernia, Hernioplasty

Abstract

Background: Hernia is the abnormal exit of an organ or fatty tissue, such as the bowel, through the weak wall of the cavity in which it normally resides. Repair of inguinal hernia is common surgical procedures. This study aims to compare between laparoscopic and open hernia repair. Method: Study is non randomized comparative study. Study includes 76 patients who had undergone surgery for hernioplasty. Among them 38 undergone laparoscopic hernioplasty and 38 undergone open hernioplasty from June 2016 to August 2018. Results: Mean hospital stay was 2.95 days in group 1 and 4.03 in group 2 .VAS was found to be 2.45 in group 1 and 5.71 in group 2 which is significantly low in group 1 patients with p<0.001. Duration of surgery is more in group 1 with mean duration of 94.08 minutes comparing to group 2 with mean duration of 43.55 minutes (with p<0.001). Conclusion: Laparoscopic hernia repair offers advantages over open repair in terms of less hospital stay and lower pain score for patient not contraindicated for general anesthesia and complicated hernia.
Published
2019-01-31
Section
Original Articles