European Journal of Biomedical and Pharmaceutical Sciences

EARLY RECOVERY AFTER LAPAROSCOPIC INGUINAL HERNIA REPAIR IN COMPARISON WITH OPEN APPROACH A RETROSPECTIVE STUDY AT KING HUSSIEN MEDICAL HOSPITAL

Hamzah Hamadeen MD*, Husam Al Mharat MD, Bilal Alhamad, Rami Al Omoor MD, Ahamad Al Zboon MD, Mohammad Al Huniti MD, Majed Al Qaisi MD, Ghidaa Maswadah

ABSTRACT

Objective: to distinguish which is superior during the recovery period, laparoscopic versus the open approach of inguinal hernia repair, and to assess the period after surgery regarding complications and the hospitalization period. Methodology: It is a retrospective study of 270 cases that underwent laparoscopic and open inguinal hernia repair at KING HUSSEIN MEDICAL CENTER over a two-year duration, from June 2022 to July 2024. Most hernias are diagnosed either clinically or radiologically, typically through the use of an ultrasound or a CT scan, before surgery. Data collected before surgery about age, sex, comorbidities, and after surgery about the type of repair, open vs laparoscopic, hospitalization time, and early postoperative complications. All data were analyzed and compared; the decision between laparoscopic and open approaches was dependent on the size of the hernia sac and whether the case was a redo surgery or not. Results: Postoperative bleeding shows no difference between the two groups (p value = 0.105) and Phi score = 0.099. While the pain score shows a highly significant difference between the two groups, with p values of p < 0.001, and Phi = 0.570, in favor of the laparoscopic approach, which shows a lower pain score. Conclusion: laparoscopic inguinal hernia repair is associated with lower postoperative pain and shorter hospital stay in comparison to open surgical technique.

Keywords: laparoscopic, inguinal hernia.