<abstract xmlns="http://www.w3.org/1999/xhtml"><bold>Objective:</bold> To evaluate and compare laparoscopic and conventional open procedures for bilateral inguinal hernia surgical repair, using clinical, intraoperative, and postoperative criteria.<bold>Methods:</bold> Forty-three patients with bilateral inguinal hernia were included in a retrospective study, between 2014–2017. All patients underwent conventional open or laparoscopic bilateral hernioplasty, and were divided into two groups: a conventional open group (COG) and a laparoscopy group (LG). Clinical, intraoperative, and postoperative outcomes were reviewed.<bold>Results:</bold> In the laparoscopic hernioplasty group, there was a significantly shorter hospitalization period (p = 0.026), less postoperative pain (p = 0.03), and a prompt return to work (p = 0.043) compared to the conventional open procedure. On the other hand, patients who underwent hernioplasty with the Progrip-type synthetic mesh developed a lower pain score, an earlier return to work, and a quick start to normal physical activities in comparison with other mesh types used for the treatment of bilateral inguinal hernias. For patients who underwent conventional open procedure, there was a significantly shorter operating time (p = 0.042).<bold>Conclusion:</bold> Laparoscopic bilateral inguinal hernioplasty is a time-consuming and technically demanding procedure. However, the current study underlines the benefits of this type of surgery. This technique presents comparable clinical, intraoperative, and postoperative results with the conventional open surgery.</abstract>

Objective: To evaluate and compare laparoscopic and conventional open procedures for bilateral inguinal hernia surgical repair, using clinical, intraoperative, and postoperative criteria.Methods: Forty-three patients with bilateral inguinal hernia were included in a retrospective study, between 2014–2017. All patients underwent conventional open or laparoscopic bilateral hernioplasty, and were divided into two groups: a conventional open group (COG) and a laparoscopy group (LG). Clinical, intraoperative, and postoperative outcomes were reviewed.Results: In the laparoscopic hernioplasty group, there was a significantly shorter hospitalization period (p = 0.026), less postoperative pain (p = 0.03), and a prompt return to work (p = 0.043) compared to the conventional open procedure. On the other hand, patients who underwent hernioplasty with the Progrip-type synthetic mesh developed a lower pain score, an earlier return to work, and a quick start to normal physical activities in comparison with other mesh types used for the treatment of bilateral inguinal hernias. For patients who underwent conventional open procedure, there was a significantly shorter operating time (p = 0.042).Conclusion: Laparoscopic bilateral inguinal hernioplasty is a time-consuming and technically demanding procedure. However, the current study underlines the benefits of this type of surgery. This technique presents comparable clinical, intraoperative, and postoperative results with the conventional open surgery.

Laparoscopic Versus Conventional Open Surgery for the Treatment of Bilateral Inguinal Hernias

Journal of Interdisciplinary Medicine

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Objective: To evaluate and compare laparoscopic and conventional open procedures for bilateral inguinal hernia surgical repair, using clinical, intraoperative,...

Laparoscopic Versus Conventional Open Surgery for the Treatment of Bilateral Inguinal Hernias

Published Online: Dec 18, 2018

Page range: 181 - 185

Received: Jun 26, 2018

Accepted: Jul 29, 2018

DOI: https://doi.org/10.2478/jim-2018-0026

Keywords
bilateral inguinal hernia, laparoscopic, hernioplasty, ProGrip, chronic pain

© 2018 Előd Etele Élthes et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Laparoscopic Versus Conventional Open Surgery for the Treatment of Bilateral Inguinal Hernias

Published Online: Dec 18, 2018

Page range: 181 - 185

Received: Jun 26, 2018

Accepted: Jul 29, 2018

DOI: https://doi.org/10.2478/jim-2018-0026

Keywordsbilateral inguinal hernia, laparoscopic, hernioplasty, ProGrip, chronic pain

© 2018 Előd Etele Élthes et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
bilateral inguinal hernia, laparoscopic, hernioplasty, ProGrip, chronic pain