Open Vs Laparoscopic Inguinal Hernia Surgery
Importance incisional hernia is the most frequent surgical complication after laparotomy up to 30 of all patients undergoing laparotomy develop an incisional hernia.
Open vs laparoscopic inguinal hernia surgery. Using a prospective database we analyzed data for preperitoneal open and tep unilateral or bilateral non recurrent inguinal hernia repairs performed between november 2005 and august 2012 by a single surgeon. Below is a brief overview of the pros and cons of each type of hernia repair. In addition patients who undergo laparoscopic surgery have been shown to have less pain and numbness during the recovery process. General anesthesia is needed for laparoscopic repair whereas open surgery can be done under general spinal or local anesthesia.
Therefore surgery can be performed from either the abdominal side as in the laparoscopic approach or through the skin as in a traditional open approach. In laparoscopic surgery the recovery time is faster as compared to open surgery. The results comparing bilateral laparoscopic and open bilateral hernia repairs can be seen in table 3 the surgical time is 79 84 vs 60 58 minutes recovery room time is 137 65 minutes vs 71 92 minutes and charge is 2238 55 vs 1190 50 for laparoscopic vs open repair. Fundamentals of laparoscopic surgery.
The two techniques which can be used for hernia repair are the traditional open surgery and laparoscopic surgery. Laparoscopic inguinal hernia surgery needs a few small incisions whereas open surgery needs a long incision. A hernia is a hole through the muscle layers in the abdominal wall. A retrospective single institution analysis of 1299 inguinal hernia repairs performed at the va north texas health care system between 2005 and.
Adjusted odds ratio 1 3. Fundamentals of endoscopic surgery. Research shows that using mesh can reduce your risk of this happening by. 95 percent confidence interval 1 1.
Objective to compare laparoscopic vs open ventral incisional hernia repair with regard to postoperative pain and nausea operative results perioperative and postoperative complications hospital admission and recurrence rate. The hernia could come back after the surgery. Laparoscopic surgery may cause less pain than an open procedure. Laparoscopic hernia repair surgery is associated with less blood loss during surgery.
These factors can cause laparoscopic hernia repair to be more expensive than open hernia repair surgery. Both techniques offer excellent outcomes and only differ based on a few subtle areas. 271 patients were included in the open group and 69 in the.