scholarly journals Laparoscopic repair of primary unilateral inguinal hernia is it to pamper the ego of the surgeon

2017 ◽  
Vol 4 (5) ◽  
pp. 1765
Author(s):  
Suresh Kalyanasundar ◽  
Pradeep Kumar Bandi
Keyword(s):  
Inguinal Hernia ◽  
Return To Work ◽  
Laparoscopic Repair ◽  
Open Repair ◽  
Secondary Level ◽  
Distinct Advantage ◽  
Lichtenstein Repair ◽  
A Prospective Study ◽  
The Cost ◽  
Level Hospital

Background: The study compared the procedure of open Lichtenstein tensionless repair of primary unilateral incomplete uncomplicated inguinal hernia with laparoscopic preperitoneal repair by TEP in a rural secondary level hospital for plantation workers. The aim of the study was to compare both the procedures and if laparoscopic repair had any specific advantage over the conventional open repair with specific relation to time of return to work, recurrence and cost effectiveness of the procedures.Methods: This was a prospective study involving 200 cases which were detected and operated between 2006 and 2014 at our hospital and subsequently followed up till 2016 which is 2 years. The patients selected were plantation workers.Results: In all 200 cases got enrolled in the study 100 underwent open tensionless Lichtenstein repair and 100 of them underwent Laparoscopic repair-TEP.Conclusions: Primary unilateral uncomplicated incomplete inguinal hernia repaired by laparoscopic method has no distinct advantage with reference to return to work recurrence of hernia and the cost involved is more as compared to open Lichtenstein repair.

scholarly journals A Comparative Study between Laparoscopic Repair and Open Repair of Pediatric Inguinal Hernia; Outcomes and Benefits

2019 ◽  
Vol 2 (6) ◽  
pp. 03-08
Author(s):  
Omar Atef Elekiabi ◽  
Mohamed E Eraky ◽  
Waleed A Abdelhady ◽  
Ahmed M Sallam ◽  
Loay M Gertallah
Keyword(s):  
Inguinal Hernia ◽  
Comparative Study ◽  
Laparoscopic Repair ◽  
Open Repair ◽  
Pediatric Inguinal Hernia

Cost-Effectiveness of Open Versus Laparoscopic Repair for Primary Inguinal Hernia

1998 ◽  
Vol 14 (3) ◽  
pp. 472-483 ◽  
Author(s):  
Carmen D. Dirksen ◽  
André J. H. A. Ament ◽  
Eddy M. M. Adang ◽  
Geerard L. Beets ◽  
Peter M. N. Y. H. Go ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Cost Effectiveness ◽  
Return To Work ◽  
Laparoscopic Repair ◽  
Operating Time ◽  
Recurrence Rates ◽  
Hospital Perspective ◽  
Primary Inguinal Hernia ◽  
Bassini Repair ◽  
Open Versus

AbstractA cost-effectiveness (CE) analysis was performed of Bassini versus laparoscopic repair for primary inguinal hernia. Incremental costs per 1 -year recurrence-free patient were calculated for the societal and hospital perspective. From the hospital perspective, the incremental CE ratio of laparoscopic repair is 5.348 guilders. From the societal perspective, laparoscopic repair is both less costly and more effective than Bassini repair. Results were sensitive to assumptions about recurrence rates, laparoscopic operating time, and return to work. Laparoscopic repair should replace Bassini repair in order to benefit society. From the hospital perspective, the decision to accept laparoscopic repair depends on the willingness to pay.

scholarly journals LAPAROSCOPIC TRANS-ABDOMINAL PREPERITONEAL VERSUS LICHTENSTEIN REPAIR OF INGUINAL HERNIA: A COMPARATIVE STUDY.

2019 ◽  
Vol 26 (07) ◽  
pp. 1151-1155
Author(s):  
Munawar Jamil ◽  
Khurram Niaz ◽  
Fatima Tahir ◽  
Humaira Sobia
Keyword(s):  
Inguinal Hernia ◽  
Postoperative Pain ◽  
Hernia Repair ◽  
Return To Work ◽  
Hospital Stay ◽  
Operation Time ◽  
Laparoscopic Group ◽  
Lichtenstein Repair ◽  
Acute Postoperative Pain ◽  
Stay Time

Objectives: To compare Laparoscopic transabdominal preperitoneal (TAPP)  to open Lichtenstein inguinal hernia repair for operation time, acute postoperative pain, complications, hospital stay, time to return to work to find out which has better outcome. Study Design: A prospective randomised controlled trial. Setting: QAMC/BVH Bahawalpur; Pakistan. Period: July 2017 to June 2018. Methodology: It included 50 patients, 32 in Lichtenstein group and 18 in TAPP group above the age of 18 years. Operation time, acute postoperative pain, complications, hospital stay, time to return to work were compared in two groups. Data analysis was done on SPSS 23 version. Results: Mean age of patients were 45±9.79 and 44.95±9.82 in Lichtenstein and laparoscopic group, 96% were male. Operation time was 37.96±13.66 vs. 48.77±9.99 (Min), hospital stay 2.28±0.79 vs.1.55±0.63 (Days), time to return to work 13.20±4.75 vs.10.47±3.59 (Days) in Lichtenstein and laparoscopic group respectively. Pain score was 6.1±1.9 vs. 5.2±0.94 in Lichtenstein and laparoscopic group. In immediate complications haematoma 6.25% vs. 0%, seroma 3.12% vs. 11.11%, wound infection 9.37% vs.5.55%, visceral injury 0% vs. 5.5% in Lichtenstein to laparoscopic group respectively. In long term complications chronic pain 28.12% vs.11.11%, recurrence 3.12% vs.0%, port site hernia 0% vs. 5.55%, numbness 9.37% vs. 0% in Lichtenstein and Laparoscopic group respectively. Mortality was nil in both groups. Conclusion: Although there is insignificant difference in complication rate, Laparoscopic hernia repair is better than Lichtenstein repair in terms of less postoperative pain, less hospital stay and early return to work.

A Comparative Study between the Outcome of Laparoscopic Repair and Open Repair of Paediatric Inguinal Hernia

2013 ◽  
Vol 1 (2) ◽  
pp. 29-34 ◽  
Author(s):  
Tahmina Hossain ◽  
Sharifuz Zaman ◽  
Kaniz Hasina ◽  
Ashraf Ul Huq
Keyword(s):  
Inguinal Hernia ◽  
Comparative Study ◽  
Laparoscopic Repair ◽  
Open Repair

scholarly journals The risk factors of laparoscopic and open repair surgery of inguinal hernia in a tertiary care center

2020 ◽  
Vol 7 (4) ◽  
pp. 1174
Author(s):  
Ashish Goenka ◽  
Mahesh Ijjapawar
Keyword(s):  
Risk Factors ◽  
Inguinal Hernia ◽  
Laparoscopic Repair ◽  
Open Repair ◽  
Care Center ◽  
Tertiary Care ◽  
Laparoscopic Group ◽  
Group A ◽  
The Mean ◽  
Repair Group

Background: The purpose of the present study to investigate the incidence of inguinal hernia and risk factors of laparoscopic and open repair surgery.Methods: The present study contained 3 bilateral,17 right-sided and 7 left-sided hernia in the laparoscopic group and 2 bilateral, 19 right-sided and 6 left-sided hernia in open repair group. A total of 54 patients had an inguinal hernia, 27 underwent open repair and 27 underwent laparoscopic to open repair.Results: The age group of patients of open repair is 51-60 years, whereas 41-50 years in laparoscopic repair. The mean age was 47 years in open repair against 43 years in the laparoscopic repair.Conclusions: Among them, eight patients from open repair (1-COPD, 3-asthma,1-hypertension, 3-smoking) and five patients with the laparoscopic repair (2- COPD, 2-asthma, 1-hypertension) had one of the above-mentioned risk factors. 

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