A Prospective Comparative Study between Laparoscopic Mesh Repair and Open Lichtenstein Mesh Repair of Inguinal Hernia

Inguinal Hernia is among the most encountered conditions. Comparison among laproscopic and open methods show the advantages of Laparoscopic repair over the open method. AIMS AND OBJECTIVES: To compare the effectiveness and safety of laparoscopic (Totally extraperitoneal) and conventional open mesh repair (Lichtenstein) in the treatment of inguinal hernia OBJECTIVES To compare the following, in laparoscopic and open hernia repair: 1. Operating time. 2. Intraoperative & postoperative complications. 3. Postoperative pain and recovery. 4. Recurrence rate. MATERIALS AND METHODS: The present study was carried out in the Department of General Surgery, Kamineni Institute of Medical Sciences, Narketpally. The study includes 50 patients (25 in each group) with inguinal hernia who were admitted and operated during the period from January 2019- December 2019. Type of operation (laparoscopy/open) Size of mesh used was 15X15 cm Laproscopic and in Open hernioplasty was 7X15 cm. ??????? RESULTS: ??????? Intraoperative complications are less in laparoscopic group (0 %) compared to to open group (4 %). ??????? Mean duration of surgery is more in laparoscopic repair i.e 87 min compared to open mesh repair i.e 64min and the P value is < 0.001 which is significant. ??????? Postoperative pain is less in laparoscopic group (8 %) compared to open group (16 %). ??????? Mean length of hospital stay is less in laparoscopic repair i.e 3.92 days compared to open repair i.e 7.80 days and the P value is < 0.001 which is significant. CONCLUSION: ??????? TEP group has got less intraoperative & postoperative complications compared to open group clinically but statistically it is not significant. ??????? Length of hospital stay is less in TEP group compared to open group. ??????? Operating time is more in TEP group than in open group. ??????? TEP repair has advantages of less complications & early recovery than open group