January-March 2018

A comparative study of laparoscopic inguinal hernia repair and Stoppa repair in cases of bilateral inguinal hernia

Hardik Makwana1,Jawansing Manza2,Rushabh Maisuriya3, Devendra Chaudhry4, Nimesh Verma5, Gulab Patel6

1Assistant Professor, 2 Senior Resident, 3Assistant Professor, 4 Associate Professor, 5Professor & Head, Department Of General Surgery, New Civil Hospital, Surat, Gujarat, India. 6 Professor & Head, Department Of General Surgery, Gujarat Medical Education & Research Society Medical College, Valsad, Gujarat, India.


BACKGROUND AND OBJECTIVES: The aim of the current prospective comparative study is to evaluate the outcome of laparoscopic repair of bilateral inguinal hernia in comparison to the open Stoppa method. METHODS: 50 cases of bilateral primary inguinal hernia were subjected to Stoppa repair and laparoscopic hernia repair randomly and as per surgeons’ choice. Evaluation of all the patients included in the study was done regarding the history, physical findings, operative details and post-operative complications. The patients were followed up at one month and six months intervals for any complications, chronic groin pain or recurrence. RESULTS: All patients presented with a swelling in the growing from 2 months to 10 years after appearance of the swelling. Highest number of patients were in the age group of 51-60 years. During post-operative stay, 2 patients had seroma and 2 patients had wound infection in Stoppa repair, while in laparoscopic repair 4 patients had port site infection. Statistics show significantly shorter duration of surgery, time till mobilisation and time till oral intake in laparoscopic group, while hospital stay, post-operative complications and recurrence rates were not found to be significantly different in both groups. CONCLUSION: Laparoscopic repair for bilateral inguinal hernia is a safer and better alternative to the Stoppa technique with superior immediate postoperative outcome and higher patients' satisfaction rate.

Keywords: Laparoscopic; Stoppa Technique; Bilateral Inguinal Hernia

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