DOI: 10.36347/sjams.2016.v04i05.028

Pages: 1579-1584

A hernia is defined as an abnormal protrusion of a viscus, in part or in whole, through a normal or abnormalcongenital or acquired-defect in the wall through the region of the abdominal wall that contains it. Inguinal hernia is the most common variety accounting for approximately 75% of all hernias. Laparoscopic hernia repairs and open Lichtenstein hernioplasty both have same recurrence rate according to multiple studies. This study was conducted to know the pros and cons of laparoscopic unilateral inguinal hernia repair by Total Extra-Peritoneal [TEP] approach under general anesthesia in comparison to that of open Lichtenstein inguinal hernia repair under local anesthesia in terms of Operating time, Post operative pain and analgesic requirement, Intra operative and post operative Complications, Duration of hospital stay, Cost effectiveness. 200 cases were randomly selected according to selection criteria and randomized for Lichtenstein repair and laparoscopic TEP. Two groups were compared as per aims. Suitable statistical test were applied. The Random study conducted over 200 patients showed that laparoscopic hernia repair had less post operative pain, less hospital stay, decreased seroma and infection rate of incision, more cosmetically acceptable by patients in comparison with open Lichtenstein hernia repair under local anesthesia. Lichtenstein open hernioplasty under local anesthesia was cost effective and devoid of post operative adverse affects of general anesthesia. The laparoscopic hernia repair is better than Lichtenstein hernia repair for unilateral inguinal hernia repair except for the long duration of surgery and cost effectiveness.