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COMPARISON BETWEEN OPEN AND LAPAROSCOPIC HERNIA REPAIR IN TERMS OF COMPLICATIONS, MORBIDITY, RECURRENCE, POST-OP PAIN AND HOSPITAL STAY

Dr. Ali Gohar Khan, Dr. Karim Shah Faizi, Dr. Fatima

Objective: To compare open and laparoscopic hernia repair in terms of safety, complications, morbidity, recurrence, post-op pain and hospital stay. Material and methods: This comparative study was conducted at Department of Surgery, Fauji Foundation Hospital Peshawar from March 2018 to September 2018 over the period of 6 months. Total 50 patients undergoing hernia repair was selected. Post-operative morbidity, recurrence, post-op pain and hospital stay was compared. Results: Total 50 patients with hernia was selected for present study. Right side hernia was found in 21 (42%) patients, 11 patients belonged to study group A while 10 patients belonged to study group B. Left side hernia was found in 18 (36%) patients and bilateral hernia was found in 11 (22%) patients. Present study shows recurrence in one patient in laparoscopic (TEP) hernia group but there was no recurrence in open hernia repair group (Lichtenstein’s repair) Superficial wound infection was found to be more in open inguinal hernia repair group than laparoscopic (TEP) hernia repair. Seroma formation in Laparoscopic (TEP) hernia repair was less than open hernia repair (Lichtenstein’s repair). Conclusions: Laparoscopic hernia repair is quite safe; it has definite advantages in bilateral and recurrent cases, postoperative pain, early return to normal activities, less postoperative hospital stay and better cosmetic results although it has its own disadvantages in terms of recurrence rate, operative time and cost effectiveness. Keywords: Laparoscopic hernia repair, Open hernia repair, Cost effectiveness.

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