A COMPARATIVE ANALYSIS OF LAPAROSCOPIC HERNIA REPAIR AND OPEN LICHTENSTEIN'S HERNIA REPAIR

Koli Nikhil Vanura, A. Kumar T.
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Abstract

This prospective comparative study explores the efcacy of laparoscopic hernia repair (Total Extraperitoneal Repair – TEP) versus open Lichtenstein's repair in 50 cases of unilateral inguinal hernias. Employing convenience sampling, patients were randomly assigned to undergo either technique after pre-operative preparation. Postoperative care meticulously monitored pain, bleeding, urinary retention, and wound complications. Utilizing statistical analyses, including descriptive statistics and chi-square tests, the study scrutinized outcomes based on specic parameters. Results indicated a marked reduction in postoperative pain, shorter hospital stays, and earlier return to work with TEP repair. However, TEP repair proved to be more expensive. The study's limitations include the subjective nature of pain assessment and the challenge of long-term follow-up. These ndings contribute insights into the comparative advantages and limitations of laparoscopic and open hernia repair techniques, aiding clinicians in informed decision-making.
腹腔镜疝修补术与开腹利希滕斯坦疝修补术的比较分析
这项前瞻性比较研究探讨了腹腔镜疝修补术(全腹膜外修补术 - TEP)与开腹Lichtenstein修补术在50例单侧腹股沟疝中的疗效。采用便利抽样法,患者在术前准备后被随机分配接受两种技术中的一种。术后护理严格监控疼痛、出血、尿潴留和伤口并发症。该研究利用统计分析,包括描述性统计和卡方检验,根据特定c 参数对结果进行了仔细检查。结果表明,TEP修复术后疼痛明显减轻,住院时间缩短,恢复工作时间提前。但事实证明,TEP修复术的费用更高。该研究的局限性包括疼痛评估的主观性和长期随访的挑战性。这些,有助于深入了解腹腔镜和开放式疝气修补技术的比较优势和局限性,帮助临床医生做出明智的决策。
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