Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
The study aims to compare the outcomes of laparoscopic hernia repair (LHR) versus open hernia repair (OHR) in terms of surgical duration, postoperative complications, hospital stay, recurrence rates and patient satisfaction at CMH Hospital, Bangalore. A retrospective observational study was conducted over one year, involving 200 patients who underwent either laparoscopic or open hernia repair surgeries. Data were collected from the hospital's surgical registry and variables such as patient demographics, type of hernia, surgical time, postoperative complications, hospital stay, recurrence rate and patient satisfaction were analyzed. Statistical analyses were performed using Chi‐square tests for categorical variables and t‐tests for continuous variables. The laparoscopic group (n=100) exhibited a significantly shorter surgical duration (75±15 minutes vs. 90±20 minutes., p=0.02) and smaller incision length (2±0.5 cm vs. 5±1.2 cm., p<0.001) compared to the open group. Postoperative complications, such as infection and seroma, were more frequent in the open group, though differences were not statistically significant. The laparoscopic group had a shorter hospital stay (2.3±0.8 days vs. 4.5±1.2 days., p<0.001) and faster recovery (7.4±2.1 days vs. 12.2±3.3 days., p<0.001). Recurrence rates were lower in the laparoscopic group (3% vs. 6%), but the difference was not statistically significant. Higher patient satisfaction (90% vs. 75%., p=0.03) and willingness to recommend the procedure (88% vs. 70%., p=0.02) were observed in the laparoscopic group. Laparoscopic hernia repair offers several advantages over open surgery, including shorter surgical times, smaller incisions, reduced postoperative complications, quicker recovery and higher patient satisfaction. These benefits make LHR a preferred choice for many patients, though the recurrence rates between the two methods are similar. Further studies with larger sample sizes and longer follow‐up are needed to fully assess the long‐term outcomes and cost‐effectiveness of laparoscopic versus open hernia repair.
How to cite this article:
S.R. Manjunath and B.P. Vadiraj. Comparative Analysis of Laparoscopic Versus Open Hernia Repair Outcomes in a Tertiary Care Center: A Retrospective Observational Study.
DOI: https://doi.org/10.36478/10.36478/makrjms.2025.2.338.341
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2025.2.338.341