A Comparative Study between Laparoscopic Repair and Open Repair of Pediatric Inguinal Hernia; Outcomes and Benefits

Abstract

Background: The improvement of pediatric laparoscopic instruments and increased experience with laparoscopy technique, laparoscopic inguinal hernia repair in children become an important skill which the laparoscopist must be aware of. Laparoscopic repair of inguinal hernias in children is less invasive, more feasible and less painful. Additionally, this procedure is that, it could allow contra lateral hernia detection and repair in same setting. Aim: In our study we aimed to compare between the outcomes of the conventional opened repair and the laparoscopic repair of pediatric inguinal hernia. Materials and Methods: The current prospective study which included 30 patients with inguinal hernia who were divided in to two groups the first group included 10 patients and was managed by laparoscopic repair, while the second group included 20 patients and was managed by the conventional open repair. Results: The mean time of operation in laparoscopic repair is slightly shorter than that of opened repair but this was not statistically significant. Post-operative recovery was significantly faster in patients undergoing open repair than in laparoscopic repair (p = 0.003). Post-operative discharge was significantly faster in undergoing open repair than in laparoscopic repair (p = 0.025). Postoperative secondary hydrocele was common in laparoscopic repair that in open repair while scrotal edema was common in opened repair that laparoscopic repair (p = 0.049). Patient cosmetic Satisfaction was higher in group 1 with laparoscopic repair than in group 2 with opened repair (p = 0.012). Patient financial satisfaction was lower in group 1 with laparoscopic repair than in group 2 with opened repair (p = 0.046). Conclusion: Laparoscopic repair of inguinal hernias in children is less invasive, more feasible, less painful and it could allow contra lateral hernia detection and repair in same setting.

Outcome of Laparoscopic Percutaneous Extra Peritoneal Closure Versus Open Repair for Paediatric Inguinal Hernia. A Randomized Control Trial

“…10 Zenitani and partners likewise featured in their investigation that CMIH frequency was lower among patients managed with the LPEC method. 12 The study demonstrated extremely favourable outcomes that in COR gathering, the recurrence rate was 2.7%, while in LPEC gathering, the recurrence rate was just 0.7%. Another investigation led by Zenitani and partners likewise affirmed that a low rate of recurrence was seen in LPEC gathering (0.83%) than COR gathering (2.4%).…”

“…3 The findings of a study carried out by Elekiabi and co-workers exhibited different scenarios who reported that mean age in the COR group was 15.14±4.92 months and in the LPEC group was 20.58±3.52 months. 12 Undoubtedly, the study featured that in the two gatherings (COR and LPEC), a large portion of the patients (89.9% in each gathering) were males. The outcome of our investigation is practically similar to an examination directed by Zenitani and partners, who declared that the dominant part (63.3%) of patients were males.…”

“…Another investigation led by Zenitani and partners likewise affirmed that a low rate of recurrence was seen in LPEC gathering (0.83%) than COR gathering (2.4%). 12…”