Journal of AdvancedMedical and Dental Sciences Research

Aim: To compare laparoscopic vs open groin hernia repair in tertiary care teaching hospital. Methodology: One hundred forty adult patients age ranged 18- 60 years with history of groin hernia reporting to general and laparoscopic surgery department were enrolled in this study. Patients were randomly divided into 2 group. Each group comprised of 70 patients. Group I patients underwent laparoscopic hernia repair performed with a transabdominal preperitoneal or a totally extraperitoneal approach and group II patients underwent open repair. Parameters such as site of hernia, type of hernia, recurrence of hernia, and complications were recorded. Results: Group I comprised of 65 males and 5 females and group II had 63 males and 7 females. Side was left in 25, right in 35 and bilateral in 10 in group I and left in 30, right in 20 and bilateral in 20 in group II. Type of hernia was inguinal hernia in 67 and femoral in 3 in both group I group II. Recurrence was seen in 4 in group I and 2 in group II. The difference was significant (P< 0.05). Surgical complications were injury of lateral cutaneousnerve of thigh seen in 1 in group I, visceral injury in 2 in group I and 1 in group II, damage to vas or testicular vessels in 8 in group I and 3 in group II, injury to epigastric vessels 2 in group I and 1 in group II and diathermy burn in 1 in group I. The difference was significant (P< 0.05). Conclusion: Open repair for groin hernia found to be beneficial and advantageous as compared to laparoscopic hernia repair.