A Comparative Study of Laparoscopic versus Open Inguinal Hernia Repair

Abstract

Background: Inguinal hernia repair is among the most common procedures performed in general surgery. With the introduction of laparoscopic techniques, outcomes such as postoperative pain, hospital stay, and recovery time have significantly improved. This study compares laparoscopic and open inguinal hernia repair regarding intraoperative and postoperative outcomes.

Methods: This randomized prospective comparative study was conducted at Dr. L.N. Pandey Government Medical College & Hospital, Ratlam (M.P.), over 18 months. Patients were divided into two groups—Group A (Laparoscopic hernioplasty using TAPP/TEP) and Group B (Open Lichtenstein repair). Parameters compared included operative time, complications, postoperative pain, hospital stay, and return to normal activity.

Results: Laparoscopic repair demonstrated shorter hospital stay, reduced pain scores, and faster return to activity. However, operative time and cost were higher than open repair. Recurrence and complication rates were comparable.

Conclusion: Laparoscopic hernia repair offers superior recovery and less pain, while open repair remains a cost-effective alternative suitable for resource-limited settings.