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COMPARISON OF OUTCOME BETWEEN OPEN AND LAPAROSCOPIC TECHNIQUE FOR INGUINAL HERNIA REPAIR IN CASES OF LIVER CIRRHOSIS

Dr. Iftikhar Ahmed Bhatti, Dr. Fawad Hameed, Dr. Ume Rubab

Objective: To compare the outcome between open and laparoscopic technique for inguinal hernia repair in cases of liver cirrhosis. Material and methods: This randomized controlled trial was conducted at Department of Surgery, Sharif Medical & Dental College Lahore from March 2018 to September 2018 over the period of 6 months. Total 90 patients of unilateral inguinal hernia and liver cirrhosis as co-morbid condition having age 20-60 years either male or female were selected. Patients of group were A managed with open surgical technique and patients of group B was managed with laparoscopic surgical technique. Outcome was compared between the both groups. Results: Mean age of patients of group A was 36.01 years and mean age of patients of group B was 37.82 years. The mean operation time was greater for the patients operated by TEP than that by Lichtenstein repair with a statistically significant difference. Wound infection and scrotal edema were greater for the patients operated by Lichtenstein repair with a statistically significant difference. All complications resolved by conservative management. Hospital stay was greater for the patients operated by Lichtenstein repair than that by TEP Conclusions: Elective laparoscopic inguinal hernia repair is feasible option in liver cirrhosis patients. However; despite of some better outcomes with TEP; there is insufficient evidence to conclude its greater effectiveness than Lichtenstein repair. Keywords: Inguinal hernia, Liver cirrhosis, Lichtenstein repair, Laproscopic TEP repair

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