Article Title
Comparison of Laparoscopic Versus Open Hernia Inguinalis Surgery in Adult Patients
Abstract
Abstract
Introduction. Inguinal hernia is the most common type of hernia in adults. Inguinal hernia repair is also the presiding surgery procedure performed by general surgeons. Open repair and laparoscopic approaches are still debatable, and each procedure's benefits and risks vary widely. This review focused on comparing both methods regarding the duration of surgery and patient outcomes.
Method. A literature review was carried out in accordance with PRISMA protocol. Observational and trial journals comparing open repair and laparoscopy for inguinal hernias in adults were considered. PubMed, ProQuest, Ebscohost, and ScienceDirect were searched without the restriction of publication year.
Results. Seventeen studies were included in the review. The total number of patients undergoing inguinal hernia repair in this review was 321,675 adult patients, of whom 84.63% (n=272,229) underwent open surgery, while 15.37% (n=49446) underwent a laparoscopic procedure. The length of hospital stays was longer in open surgery. The complication and recurrence rate was also higher in open surgery, while patient satisfaction was lower than in laparoscopic procedures.
Conclusion. Most hernia repairs are performed using an open method. The open repair technique is preferred because it takes a short time, does not require general anesthesia, and is easier for most surgeons. However, the laparoscopic procedure has lower complication and recurrence rates and higher patient satisfaction.
