Open Mesh versus Laparoscopic Mesh Repair of Inguinal Hernia : in Terms of Patient Satisfaction

Abstract

Background- Inguinal hernia is the most common type of external abdominal hernia. Open

Lichtenstein method or laparoscopic method can be employed to repair inguinal hernia. The superiority of

laparoscopic mesh hernioplasty over open mesh hernioplasty is debatable.

Method- This prospective study was done on 120 patients in the department of surgery, LLRM medical

college, Meerut to evaluate the usefulness of laparoscopic mesh hernioplasty (TEP Technique) for

inguinal hernia repair versus conventional open mesh hernioplasty (Lichtenstein Technique) in terms of

complications, pain and recurrence. Equal number of subjects were put in two groups : open mesh repair

group and laparoscopic mesh repair group.

Results- The mean age of the patients with inguinal hernia including both groups was 50 yrs. The mean

operation time of Laparoscopic TEP mesh hernioplasty was 71.33 minutes while that of Open Lichtenstein

repair was 36.33 minutes. Postoperative analgesic requirement was significantly lower in the patients operated

by TEP technique as compared with patients treated by Open Lichtenstein’s technique. In TEP group, two

patients developed neuralgia, one patient developed fever, 1 patient developed hematoma whereas in the

open group there were 3 cases of neuralgia formation and 3 cases of fever.

Conclusion- In all, Laparoscopic mesh hernioplasty using TEP technique is a novel technique with its

share of advantages and disadvantages. There are potential benefits of laparoscopic inguinal hernia repair

for inguinal hernias in terms of post-operative pain, hospital stay and post operative complications. We

recommend that a surgeon should use this laparoscopic technique for hernia repair after knowing all the pros

and cons of the technique, his expertise for the technique and the infrastructure available.