INGUINAL HERNIA – LAPAROSCOPIC VERSUS OPEN – A SINGLE CENTER EXPERIENCE

Daniel Ion; Oana Ciocîrlan; V R Vornicu; D N Păduraru; Alexandra Bolocan; O Andronic

doi:10.33695/jss.v6i3.293

Daniel Ion 1The University of Medicine and Pharmacy Carol Davila, Bucharest, Romania & 2Emergency University Hospital of Bucharest, Romania
Oana Ciocîrlan 1The University of Medicine and Pharmacy ”Carol Davila”, Bucharest, Romania
V R Vornicu 1The University of Medicine and Pharmacy ”Carol Davila”, Bucharest, Romania
D N Păduraru 1The University of Medicine and Pharmacy ”Carol Davila”, Bucharest, Romania 2Emergency University Hospital of Bucharest, Romania
Alexandra Bolocan 1The University of Medicine and Pharmacy ”Carol Davila”, Bucharest, Romania 2Emergency University Hospital of Bucharest, Romania
O Andronic 1The University of Medicine and Pharmacy ”Carol Davila”, Bucharest, Romania 2Emergency University Hospital of Bucharest, Romania

DOI: https://doi.org/10.33695/jss.v6i3.293

Keywords: inguinal hernia, laparoscopic, open, alloplastic

Abstract

Inguinal hernia is one of the most common surgical pathologies, which appears mainly due to the weakening of the abdominal muscles. Currently, the gold standard in the repair of inguinal hernias by open approach is the Lichtenstein procedure, while the gold standard of laparo-endoscopic procedures are the pre-peritoneal transabdominal technique (TAPP) and the total extraperitoneal technique (TEP). The purpose of this study is to evaluate, for a period of 4 years, the cases of inguinal hernias operated both by laparoscopic and open procedures to analyze their characteristics, under the conditions in which none was imposed as absolute gold standard for groin hernias. The present study was retrospective and descriptive, including a number of 214 cases hospitalized with the diagnosis of inguinal hernia. In the surgery of the groin hernia, both laparoscopic and open procedures have demonstrated their feasibility. Our study shows the preference for open surgery in elderly patients and those with comorbidities, as well as a faster evolution, with earlier discharge in the case of laparoscopic interventions.