Length of hospital stay in laparoscopic transabdominal preperitoneal repair compared to open Mesh repair in patients with inguinal hernia: a randomized controlled trial
Keywords:Inguinal hernia, Laparoscopic trans abdominal preperitoneal repair, Open Mesh repair, Length of hospital stay
Introduction: One of the challenges faced by surgeons during repair of inguinal hernias is to adopt an approach with minimum complications of infection, chronic pain, and recurrence of hernia. Along with traditional techniques, modern methods of Laparoscopic Repair and Open Mesh Repair have been introduced and need further evaluation.
Objective: To compare the mean length of hospital stay in laparoscopic trans abdominal preperitoneal repair versus open Mesh repair in patients undergoing inguinal hernia repair with Mesh.
Methods: A total of 334 patients of male gender with Inguinal hernias of any side and ASA score I and II were included in the study. History of Immunosuppression, concomitant other types of abdominal hernias, and recurrent hernias, were excluded. 167 patients were in Group A or laparoscopic trans abdominal preperitoneal repair group while 167 patients were in Group B or open Mesh repair. Data regarding length of hospital stay from both groups was recorded on especially designed proforma. Data were analyzed by SPSS 22 for descriptive and comparative statistics, keeping p≤0.05 as significant.
Results: Age range in this study was from 18 to 50 years. In group A, the mean age was 40.173 ± 6.19 years and mean duration of procedure was 37.658 ± 6.36 minutes; in group B, the mean age was 38.443 ± 5.10 years and mean duration of procedure was 61.748 ± 11.65 minutes. Majority of patients belonged to ASA-I in both groups. Moreover, majority of patients had right sided hernia in both groups. Mean length of hospital stay was 31.760 ± 11.25 hours in group A and 58.922 ± 11.98 hours in group B (p<0.001).
Conclusion: Laparoscopic approach for hernia repair had better outcome than open Mesh repair in terms of shorter duration of hospital stay.
Keywords: Inguinal hernia, Laparoscopic trans abdominal preperitoneal repair, Open Mesh repair, Length of hospital stay.