LAPROSCOPIC VS OPEN HERNIA REPAIRRESULTS OF A PROSPECTIVE RANDOMISED CONTROL TRIAL

Hussain Amir, Atia Zaka-Ur-Rab, Wasif Mohhammad Ali, Urooj Najmi

Abstract


Background: Repair of an  inguinal hernia is the most frequently performed operation in general surgery. Although laparoscopic approach to inguinal hernia surgery has been found to be safe and reliable, its superiority over open method is still controversial.

Methods: A prospective, open labelled, randomized, comparative, two armed study was conducted in Department of surgery, J.N. Medical College, AMU, Aligarh,India between June 2016 to July 2018. A total of 100 patients with uncomplicated inguinal unilateral direct or indirect, undergoing elective inguinal hernia surgery, who are fit for laparoscopy and general anaesthesia, were included in the study. The patients were randomly allocated into two groups consisting of 50 in each group. Group A were operated with open tension free Lichtenstein’s hernioplasty. Group B operated by laparoscopic totally extraperitoneal repair using mesh.Surgical variables and clinical outcomes were measured.

Results: The duration of surgery  for Group B  is shown to be significantly higher than the Group A (p value =0.00). The VAS score(for pain)  and (PNOV) values of Group B were Significantly lower than that of  Group A at 0h, 6h and 24h(p value =0.00). The mean hospital stay in both groups were almost similar. The mean time taken by patients to execute their daily activities was 3.05±2.1 in Group B as compared to Group A 4.06±1.64 days and the difference was statistically significant. The postoperative seroma formation rate was found to be statistically significant in both Groups(p value=0.003) , i,e more common in group B.

Conclusions: Laparoscopic hernia repair is safe and provide less postoperative morbidity in experienced hands compared to open hernia repair.


Keywords


inguinal hernia, surgery, AMU

Full Text:

PDF

Refbacks

  • There are currently no refbacks.