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Aim: The present study evaluates and compare the outcome of laparoscopic inguinal hernia repair and open incisional inguinal hernia repair surgery. Methods: The present study was conducted in the Department of General Surgery, Himalayan Institute of Medical Sciences, Dehradun, India for 7 months. A total of 200 patients with uncomplicated inguinal small or medium sized, direct or indirect, unilateral or bilateral hernias undergoing elective inguinal hernia surgery, who are fit for laparoscopy and open surgery were included in the study. The study consisted of 200 patients, of which 100 were in the open surgery group and 100 were in the laparoscopic group. Results: The open surgery group consisted of patients with a mean age of 45.18±14.32 years, including 82 men and 18 females. The laparoscopic cohort included individuals with a mean age of 46.52±16.34 years, consisting of 85 men and 15 females. Out of the total instances seen, 80 individuals were diagnosed with unilateral hernia. Among these cases, 55 individuals exhibited right laterality, whereas 25 individuals had left laterality in the open surgery group. Bilateral representation was seen in 14 instances. In the open surgery group, there were a total of 200 cases, with 50 classified as direct type, 108 as indirect type, and 42 as direct/indirect type. There was no observed statistical link between age, gender, laterality, type, and the surgical method used. The Visual Analog Scale (VAS) scores for the laparoscopic group consistently exhibited lower values compared to the open group at corresponding time intervals, and this disparity was shown to have statistical significance. Following the procedure, there was a decreased need for post-operative analgesics with the laparoscopic approach, with just two patients need analgesic medication. The occurrence of seroma, particularly in laparoscopic procedures, was often seen as a post-operative complication. Conclusion: Laparoscopic hernia repair is considered to be a safe surgical procedure that results in reduced ... |