Inguinal Hernial Repair, Laparoscopic versus Open Approach

Abstract
Background: Hernia occurs when soft tissue (usually omentum) or part of the intestine protrudes through a weak point in the abdominal muscles. In our study, comparison is between laparoscopic and open approaches in inguinal hernia repair.
Patients and Methods: Our study include a 30 patients with inguinal hernia subjected to hernioplasty in the Depart-ment of Surgery, Assiut University. Group A: 15 patients subjected to open surgery and Group B: 15 subjected to laparosopic surgery.
Results: In comparison between Group A and B the operative time is more in laparoscopic group, with more postoperative pain in open group, and more post-operative pain in laparoscopic group.
Conclusion: Assessment of laparoscopic inguinal hernia repair found that it has some advantages that make them more preferable than open repair: Less post-operative pain, less recovery time the patient returns quickly to their full activities, diagnostic laparoscopy was performed together with hernia repair, hernia sac repair at the highest possible site, more cosmotic incision with decrease in incidence of recurrent hernia. Some disadvantages may appear with laparoscopic hernia repair as: Bladder, bowel, vascular injuries, the need of general anesthesia, with increase cost of the operation. Laparoscopic hernia repair has a role in management of patients with recurrent hernia or bilateral inguinal hernia.