Debates In Hernia Repair Open Vs Minimally Invasive Approaches

Abstract

Background: Hernia repair surgery occurs frequently as medical practitioners perform traditional and minimally invasive open procedures. Traditional open surgery is the conventional technique, but laparoscopic and robotic procedures provide patients with diminished Pain and accelerated healing times. The surgical approach selection depends on the hernia type, patient attributes, and the surgeon's experience.
Objectives: The study analyzes clinical outcome differences between open and minimally invasive hernia repair operations regarding recovery duration, complication rates, and extended effectiveness.
Study design:  A Retrospective Study.
Place and duration of study. Department of Surgery QHAMC, Nowshera Medical college ,Nowshera from jan 2021 to june 2021
Methods: 100 patients who received hernia repair surgery from 2022 to 2024. The research designed two groups for analysis: open Repair with 50 patients and minimally invasive Repair with 50 additional patients. Surgical research gathered information about patient demographics, surgical results, complication frequency, and recovery duration. The study utilized mean values, standard deviation measurements, and p-values to understand significant group differences.
Results: Patients participated in the study with an average age of 52.6 years (±10.2 standard deviation). Patients receiving open repair surgery had an average age of 54.1 years with a standard deviation (±9.8), yet the minimally invasive group demonstrated an average age of 51.2 years (±10.6). The study results showed a postoperative complication frequency of 15% in the open repair patients, while minimally invasive patients experienced complications at an 8% rate (p=0.042). The minimally invasive group required a mean recovery time of 10.2 days, which proved significantly shorter than the 16.4 days patients in the open group needed for recovery (p<0.001). A higher percentage of open repair patients experienced chronic Pain at 10% versus only 4% of the minimally invasive surgery patients (p=0.031).
Conclusion: Minimal invasive hernia repair achieved better study that produced shorter recovery time intervals, reduced chronic Pain, and presented fewer complications than open hernia repair. The study results indicate that minimally invasive surgical methods should be used by preference because they yield better results in patients who qualify for laparoscopic or robotic surgical interventions.