A Comparative Observational Study of Open versus Laparoscopic Inguinal Hernia Repair in Adults with Primary Unilateral Inguinal Hernia at a Tertiary Hospital (Code-T0145)

Introduction: Inguinal hernia repair is one of the most commonly performed surgical procedures worldwide. Open and laparoscopic techniques are the primary methods employed, each with distinct advantages and challenges. A comparative understanding of outcomes between these techniques is essential for optimizing patient care.

Aims and Objectives:

Aim:

The aim of this study is to compare open inguinal hernia repair (Lichtenstein tension free repair) versus laparoscopic (TAPP: Trans Abdominal Pre-Peritoneal) inguinal hernia repair with mesh in cases of primary U/L inguinal hernia presenting to Apollo Hospitals Guwahati during the period of study

Objectives:

To compare open versus laparoscopic (TAPP) inguinal hernia repair using mesh in primary U/L inguinal hernia in terms of:

1. Post operative complications
2. Peri operative factors
3. Follow up

Methods: A prospective observational study was conducted involving adult patients diagnosed with primary unilateral inguinal hernia. Patients undergoing open and laparoscopic hernia repair were enrolled and followed up. Data collected included operative time, postoperative pain (measured using a visual analog scale), hospital stay, complication rates, and time to resume daily activities. Statistical analysis was performed to compare the outcomes between the two groups.

Results: The laparoscopic group demonstrated significantly reduced postoperative pain and earlier resumption of normal activities (p < 0.05) compared to the open group. However, operative time was longer in the laparoscopic group. Hospital stay and complication rates, including recurrence, were comparable between the two groups. Laparoscopic repair was associated with better patient satisfaction scores.

Conclusion: Laparoscopic inguinal hernia repair offers advantages in terms of reduced postoperative pain and faster recovery, making it a preferred option for selected patients. Open repair remains a viable and effective alternative, particularly in resource-limited settings.

Keywords: Inguinal hernia, Laparoscopic repair, Open repair, Postoperative outcomes, Recovery time, Surgical techniques.