Comparison of Single Port Laparoscopic Ingulinal Hernia Repair versus Open Herniotomy in Term of Recurrence and Postoperative Scrotal Hematoma: Single Port Laparoscopic versus Open Herniotomy

Hamad Ur Rehman; Qaim Deen; Muhammad Nadeem; Muhammad Siddique; Beenish Cheema; Mubeen Nasir

doi:10.54393/pjhs.v6i2.2793

Authors

Hamad Ur Rehman Department of Pediatric Surgery, Services Hospital Lahore, Lahore, Pakistan
Qaim Deen Department of General Surgery, Services Hospital Lahore, Lahore, Pakistan
Muhammad Nadeem Department of General Surgery, Continental Medical College, Hayat Memorial Teaching Hospital, Lahore, Pakistan
Muhammad Siddique Department of General Surgery, Rahbar College of Dentistry, Lahore, Pakistan
Beenish Cheema Department Pediatric Surgery, Children Hospital and Institute of Child Health, Lahore, Pakistan
Mubeen Nasir Department of General Surgery, Fatima Jinnah Medical University, Sir Ganga Ram Hospital, Lahore, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v6i2.2793

Keywords:

Laparoscopic Hernia Repair, Open Herniotomy, Postoperative Hematoma, Recurrence Rate

Abstract

Hernia repair is common surgical procedures, with techniques evolving to improve outcomes. Comparing laparoscopic and open approaches is crucial for determining the optimal method to reduce complications such as recurrence and postoperative scrotal hematoma. Objective: To compare the frequency of hematoma and recurrence in laparoscopic assisted inguinal hernian repair versus open herniotomy. Methods: This quasi experimental study was conducted after approval from CPSP (Ref No: CPSP/REU/PSG-2017-068-339, REU 37362) at Pediatric Surgery Department Services Hospital, Lahore, from October 2020 to March 2021 on 254 patients. Patients were divided into two equal groups; Group-A (single port needle assisted laparoscopic repair) and Group-B, (open repair). Patients were assessed after 24 hours to see scrotal hematoma and regular follow up for 3 months to see the recurrence. Data were analyzed using SPSS version 26.0. Independent sample t-test and chi square was applied to compare quantitative and qualitative variables between groups; p-value ≤0.05 as significant. Results: Postoperative hematoma formation was found among 2 patients (1.6%) of Group-A and in 13 patients (10.2%) of Group-B, (p=0.003). Postoperative recurrence between two groups was comparable and statistically insignificant (Group A 6.3% vs Group B 4.0%, p=0.393). (p=0.393). Conclusions: In conclusion, laparoscopic-assisted hernia repair and open herniotomy demonstrate comparable recurrence rates. However, laparoscopic-assisted repair is associated with a significantly lower incidence of postoperative hematoma. These findings indicate that laparoscopic repair may be a safer option with fewer postoperative complications, making it a favorable choice for pediatric inguinal hernia surgery.

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