Can laparoscopic repair of inguinal hernia approach open repair that is the gold standard?

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Turan B., Tarhan Ö. R.

ANNALS OF CLINICAL AND ANALYTICAL MEDICINE, cilt.16, sa.2, ss.113-117, 2025 (ESCI)

Özet

Aim: The open repair of inguinal hernia is still considered the gold standard. The current status of laparoscopic versus open hernia repair is still under debate. In this study, we compared laparoscopic and open inguinal hernia repairs performed by same surgeon on different patients. Material and Methods: A total of 129 patients(155 hernias) who underwent inguinal hernia repair at Süleyman Demirel University Research and Application Hospital between January 2010 and January 2020 were evaluated retrospectively, and information about the techniques and their outcomes was collected. Results: The incidence of Nyhus 3A hernias was higher in patients who underwent open surgery, while Nyhus type 2 hernias were more common in those who had laparoscopic surgery. The mean duration of hospitalization was 1.57 days. A total of, 23 complications (17.83% based on the number of patients) were observed. While the rate of right-sided hernias was higher in patients who underwent open repair, the rates of left-sided and bilateral hernias were higher in those who underwent laparoscopic repair. There was no significant relationship between the type of surgery and the presence or type of complication. Discussion: The results of our study were generally consistent with the literature and proved that laparoscopic repair can be performed as safely as open repair. However, these techniques should be viewed as complementary. The best approach to an inguinal hernia repair depends on the specific expertise of the surgeon.